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