HomeMy WebLinkAbout0100635-PlumbingOSHKOSH
ON THE WATER
Job Address 3342 3344 ISAAC LN
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PATRIARCHS SUBDIVISION LLC
Contractor SOPER PLUMBING Category 410- Residential-Interior
Bathtub 2 Shower 4 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 2 WaterSoftner 0 Drink Ftn 0 Serv Sink 0
Lavatory 6 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 6 LndryStndp 2 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 2 Disposal 2 Bidet 0 Exam Sink 0 Catch Basin 0
BarSink 0 Dishwasher 2 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 2 Sump Pump 2 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100635
Create Date 09/25/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
NEW DUPLEX
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
Valuation $11,000.00 Plan Approval $0.00 Permit Fees $198.00
Issued By
[] Permit Voided
Date 04/04/2003
In the performance of this.work, I agree to perform all work pursuant to rules governing the described construction.
Signature
~ (..~' '-- AgenFOwner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE 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 1128,
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
i£ you want this processed through your account ~]
Job Address .~ 4~ --.3~q'q/_~nc ~' Value 0ncmding labor and materials) //,~:}~. eX>~ Date q~'_gt_,~
Owner ~'~'/D~e'~-.~ 'Contractor ~a-,,e ~L~'~,~e,,~,~
['-]Single Family ~JDnplex [-'[Mnlti-Family ["-]Rental [-']Commercial [-']Industrial
Number of Fixtures:
Bathtub ~. Lndry Standp 2. Dent. (>pg. Shamp Sink
Whirlpool Disposal ,~. Dip Well Flr/Wst Sink
Lavatory ~ Dishwasher 2. Drink Ftn Catch Basin'
Toilet ~, Sump Pump .~- Wait. St. Wash Ftn
Res. Sink 2-- Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater ,~ Local Waste Sculry Sink Soda Disp
J~Gas 5 Elect ~ PwrVnt
Clothes Wshr Hand Sink Coffee Maker
Shower 4 Bidet F Prep Sink Ice Maker
Floor Drain 2.
. Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
["]Electric Installation Verificati6n form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type # Conn. Type
3/02