HomeMy WebLinkAbout0100770-Plumbing (bath remodel)OSHKOSH
ON THE WATER
.lob Address 600 606 W 6TH AVE
Contractor KOCH PLUMBING
Bathtub 1
Whirlpool 0
Lavatory 1
Toilet 1
Res. Sink 0
Bar Sink 0
Water Heater 0
Site Drain 0
Roof Drain 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LEE J TRITT
Category 410 - Residential-Interior
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 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Lndry Stndp 0 CIothesWshr 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 100770
Create Date 04/11/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Bath remodel in 600 W 6th
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$3,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 04/11/2003
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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh~ %VI 54903-!i 30
Phone: (920) 236~5050
Fax: (920) 236-5084
O/HKO/H
.Plumbing Permit Application
hereby apply f~)~ a portal{ lo do and install the fi~llowin[~ pkmlbing on thc prenliscs hereinafter dcscrlbed, the work lo conlbrm lo thc
Wisconsin Slat~ Plumbing Code, iii Ih¢ pcrJbfn~,'ll~cc of' whidl alt pacties hereto agree to and arc bound by said statutes.
Owner ........ Contractor _ ..............................
F'"]Singlc Family E~l)uplex F-lMai6-Fan~ily [~Reutal [--ICommerciai I--iladustrial
Number of Fixtu res:
Oathtob ......... ~ .... Ladry Standp .............. Dcm. ~r .......... Sha~ Sink
~irl~l ............ Dis~al Dip W~ll ......... Flr~sl Sink
~va(O~ ~ . Dishwasher .......... ~nk Fin .............. CaSh Basin
Toilet ......... ~ .... Su~ Pu~ ....... Waic St .......... W~h Fm
~, Sink ....... ~t~/~nd .. kc C~st ..... U~nal
Bar Sin~ Wa~ ~R~ef ~_ ~m Sink ......... Gaf ~ain
Wa~ Holly ~1 Waste Scul~ Sink S~n Di~
Sho~ ........ CIo~s Wshr I rand Sink ~ Coff~ Maker
~ ~in Bidet ..~ F ~ Sink ~ Ic¢ Mak~
~d~ T~y .......... g~ Tap ~ Se~ Sink .._~ Site ~in
~b Sink C~ Sink [m ~ T~p ~ ~in
Plas~ ~nk Su~ Sink ~ Ex~ ~ T~p .... 5~ R~
St~ii~ B~ Sink ..~
Electric Contractor
Use / Nature of Work
OR
C:) ElY form attached (If Replacement)
Sani~ry Sewer
Storm Sewer
Water Servicc
Size Male~ial Type # Conn. Typc
Application(s) and fee(s) can bc 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
Check here if you wane this processed Chrouqh your account []
PO 39~d ONI 9NI~nqd HO0~ ~8~0~£~0~6 ~P:I! £00~/OT/PO