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HomeMy WebLinkAbout0100630 POSHKOSH ON THE WATER .lob,Address 2375 PATRIOT LN Contractor PLUFF PLUMBING Bathtub 1 Shower Whirlpool 0 Floor Drain Lavatory 1 Lndry Tray Toilet 1 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 0 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner RICHARD EIDEN Category 410 - Residential-Interior 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 1 Local Waste 0 Wait. St. 0 ShampSink 0 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 0 Bidet 0 Exam Sink 0 Catch Basin 0 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 100630 Create Date 04/04/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature Condo/Finish basement bath, install laundry tray in garage. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $2,200.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $24.00 Date 04/04/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address PO BOX264 DALE WI 54931 - 0264 Telephone Number 779-4884 OSHKOSH ON THE WATER Job Address 2375 PATRIOT LN Contractor PLUFF PLUMBING Bathtub 1 Shower Whirlpool 0 Floor Drain Lavatory 1 Lndry Tray Toilet 1 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 0 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner RICHARD EIDEN Category 410 - Residential-Interior 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 0 Water Softner 0 Drink Ftn 0 ServSink 0 1 Local Waste 0 Wait. St. 0 Shamp Sink 0 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 0 Bidet 0 Exam Sink 0 Catch Basin 0 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 100630 Create Date 04/04/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap __ 0 0 0 0 0 Use/Nature .~ondo/Finish basement bath, install laundry tray in garage. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Plan Approval $0.00 Permit Fees $24.00 [] Permit Voided Date O4/O4/2O03 In the performance of this work, I agree to. perform all work pursuant to rules governing the described construction. Signature '__ O~vt Date Agent/Owner Address PO BOX264 DALE WI 54931 - 0264 Telephone Number 779-4864 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 2-36-5050 Fax: (920) 236-5084 O/HKO/H ON TNE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128, Oshkosh WI' 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here !£¥ou want this processed through your account [-~ Job Address fi375- g.-'. Value (Including labor and materials) Owner A'~.cx.~.y, ff?,: /ff~ Contractor/~ ~/~ ~~ ~ ' ':-'/ ' ' ' u ~Single Family ~Duplex ~Multi-Family ~Rental :Commercial [--]Industrial Number of Fixtures: Bathtub ~ / Lndry Standp Dent. Oper. Whirlpool Disposal Dip Well Lavatory I Dishwasher Drink Ftn Toilet / Sump Pump Wait. St. Res. Sink Ejector/Grind Ice Chest Bar Sink Water Softner Exam Sink Water Heater Local Waste Sculry Sink [] Gas [] Elect [] PwrVnt Clothes Wshr Hand Sink Shower Bidet F Prep Sink Floor Drain Beer Tap Serv Sink Lndry Tray / Classrm Sink Int Grease Trap Lab Sink Surgeons Sink Ext Grease Trap Plaster Sink Breakrm Sink Sterilizer Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec Electric Contractor Use / Nature of Work OR Sanitary Sewer Size Material Type [--IElectric Installation Verification form attached (If Replacement) # Conn. Type Storm Sewer Water Service 3/02