HomeMy WebLinkAbout2003-Plumbing (laterals)No i00787
OSHKOSH _ ~, ~ ='
ON THE WATER~d
Job Address ~YMOUTH ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor KIENAST L G UTILITY CONSTRUCTION
Owner RICHARD A MATSCHNIG
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sen/Sink 0
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res, Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 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
Create Date 04/14/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature Install sewer/water laterals
of Work
Valuation
Issued By~
Size
Sanitary Sewer 4"
Storm Sewer
Water Sen/ice 1"
Material Type
Plastic Lateral
Copper Lateral
Conn. Type
I New
0
0
0
0
0
0
0
0
0
I New
0
0
0
0
$2,000.00 Plan Approval $0.00 Permit Fees $50.00
Date 04/14/2003
[] Permit Voided
In the performance of this work, agree to perform all work pursuant to rules governing the described construction.
Signature ;~_~'~ ~'~(~.~.~, .~.7..7~. ~/~ Date
Agent/Owner
Address 765 N WASHBURN OSHKOSH WI 54904 - 0000 Telephone Number
414-231-0898
City of Oshkosh
Inspection Services Division
P O Box 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 Serv/ces, 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
if you want this processed through Four account [-]
~,~,~.. ,Cfi f~., t~//~t~/,jT/~Talue(includinglaborandmaterials)A (f'~c' dC Date
Job Address
O.v.e
si. le Family F'l .plex I-l u. ti-hmi y I-l ental I--ICommercial I--IIna. tria
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink ·
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait· St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
[] Gas [] Elect [2 PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain 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
OR [--]Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type # Conn. Type
3/02
OSHKOSH
ON THE WATER
.lob Address 2329 PLYMOUTH ST
Contractor
Bathtub 0
Whirlpool 0
Lavatory 0
Toilet 0
Res. Sink 0
Bar Sink 0
Water Heater 0
Site Drain 0
Roof Drain 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
KIENAST L G UTILITY CONSTRUCTION
Owner RICHARD A MATSCHNIG
Category 401 - Residential-Exterior (laterals)
Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100787
Create Date 04/14/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Install sewer/water laterals
of Work
Valuation
Issued By
Size
Sanitary Sewer 4"
Storm Sewer
Water Service 1"
Material Type
Plastic Lateral
Copper Lateral
$2,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
1 New
0
0
0
0
0
0
0
0
0
1 New
0
0
0
0
$50.00
Date
04/14/2003
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 765 N WASHBURN OSHKOSH WI 54904 - 0000 Telephone Number
414-231-0898