HomeMy WebLinkAbout0100639-Plumbing (bathroom remodel)OSHKOSH
ON THE WATER
Job Address 1110 1114W 20TH AVE
Contractor SOPER PLUMBING
Bathtub 1 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 1 Lndry Tray 0
Toilet 1 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner TENNIS VILLAGE APTS LLC
Category 410- Residential-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
WaterSoftner 0 Drink Ftn 0 Serv Sink 0
Local Waste 0 Wait. St. 0 ShampSink 0
Clothes Wshr 0 Ice Chest 0 Fir/Wet Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 SculrySink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100639
Create Date 04/04/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature VIULTI-FAMILY/1110 #2/Replace bathtub, lay & toilet.
of Work
Valuation $1,500.00
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 $20.00
[] Permit Voided
Date 04/04/2003
In the perfom~ance of t~s work, I ag~o perform all work pursuant to rules governing the described construction.
Signature ~--~/~;)~=~_¢,~ .,~..------ Date
~ "~ "* '~--"~- Agent/Owner
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
I_f ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
(f you want this processed through your account ~
Job Address .//[tO~2 ~ -:,2(~97'//~/,~- Value (Including labor and materials) '~ff3~>' ~
Owner /V[n,'e-/~,/z~,~,~. ~,~, Contractor _/?~/~-,,,
[--]Single Family ['--]Duplex [~Multi-Family ['-]Rental [-]Commercial
Date
[--]Industrial
Number of Fixtures:
Bathtub / Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory f Dishwasher Drink Ftn
Toilet / Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Wate~ Softner Exam Sink
Water Heater Local Waste Sculry Sink
E] 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
OR
Use / Nature of Work
Sanitary Sewer
Size Material
Type
[~]Electric Installation Verification form attached
(If Replacement)
# Conn. Type
Storm Sewer
Water Service
3/02