Loading...
HomeMy WebLinkAbout0100712 POSHKOSH ON THE WATER .lob Address 605 S MAIN ST Contractor ADAMS PLUMBING Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 1 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner 6TH AVE ENTERPRISES INC Category 411 - Residential-Water Heaters 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 0 ClothesWshr 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 100712 Create Date 04/09/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work Apt./Install gas water heater Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size $500.00 Plan Approval $0.00 Permit Fees Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 04/09/2003 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 1570 N OAKWOOD OSHKOSH WI 54904 - 0000 Telephone Number 233-2661 OSHKOSH ON THE WATER Job Address 605 S MAiN ST Contractor ADAMS PLUMBING Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0' Lndry Stndp 0 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 1 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner 6TH AVE ENTERPRISES INC Category 411 - Residential-Water Heaters Ejector/Grind 0 DipWell 0 F Prep Sink Water Softner 0 Drink Ftn 0 Serv Sink LocaIWaste 0 Wait. St. 0 Shamp Sink Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink Bidet 0 Exam Sink 0 Catch Basin Beer Tap 0 SculrySink 0 Wash Ftn Dent. Oper. 0 Hand Sink 0 Urinal Lab Sink 0 Plaster Sink 0 Standp Rec Sterilizer 0 Surgeons Sink 0 Ice Maker No 100712 Create Date 04/09~2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature Upper Apt./Install gas water heater of Work Sanitary Sewer Storm Sewer Water Service Valuatior~ //-.,~ $500.00 ~Plan Approval Issued B~ ~ ! Size Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $0.00 Permit Fees $20.00 [] Permit Voided Date 04/09/2003 In the perform~e of this work,~ee to perform all work pursuant to'rules governing the described construction. Signature ~_~ ~_._ ~..~ -Agent/Owner Date Address 1570 N OAKWOOD OSHKOSH WI 54904 - 0000 Telephone Number 233-2661 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-I 130 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' 54903-1 t28. 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 OCyou want this processed through your account [~ Job Address ~ Owner ~')~ [-]Single Family Value (Including labor and materials) ~ Contractor. /2V3~ ~ ~L~ [--]Multi-Family [-]Rental [-]Commercial Date [-]Industrial Number of Fixtures: Bathtub Lndry Standp Whirlpool Disposal Lavatory Dishwasher Toilet Sump Pump Res. Sink Ejector/Grind Bar Sink Water Softner Water Heater J Local Waste ~Gas [] Elect ~3 PwrVnt Clothes Wshr Shower Bidet Floor Drain Beer Tap Lndry Tray Classrm Sink Lab Sink Surgeons Sink Plaster Sink Breakrm Sink Sterilizer Dent. Oper. Shamp Sink Dip Well Flr/Wst Sink · Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec Electric Contractor Use / Nature of Work OR [~JElectric Installation Verification form attached (If Replacement) Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 3/02