HomeMy WebLinkAbout0100768-PlumbingOSHKOSH
ON THE WATER
.lob Address 1721 WHITE SWAN DR
Contractor KOCH PLUMBING
Bathtub 0 Shower
Whirlpool 1 Floor Drain
Lavatory 3 Lndry Tray
Toilet 2 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MR/MRS GUNTHER FLEINER
Category 410 - Residential-Interior
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 100768
Create Date 04/11/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Bath remodel & basement 1/2 bath
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$10,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$36.00
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
[t~specllon Services Division
PO Box 1130
Phone: (920)
Fax: (920) 2.36-5084
O./HKO./H
plumbing Permit Application
I hereby apply for a permit lo do and m.qtall thc following plmubmg on lh¢ prcmlscs hcrclnafler described, thc work to confbrm to the
Wisconsin Slate Plmnbing Code, in the per£ormau¢¢ of which alt patlie.~ hereto agree to and are bound by said statutes,
[.~Singl¢ Family n"]Duple× [~]MuiO-Family J-]Rental [--]Commercial
[-'~1 ndustrial
Number of Fixtures:
8~th~vb I.~4r~ S~lp IX'm, Oper.
WhirlpOOl __~.._ Dis~sal Dip Well
I avalO~ ,~ ..... Dishwasher ..... f)~nk Em
Toilc~ _~_ Su~ ~u~ Wai~: St.
R~. Sink Ej~t~d ice C~I
O~ 8in~ Wa~ ~finer _ ~zant Sink
Wa~ It~r ~ W~(c Scul~ Sink
Sho~r Clolh~ Wshr i la~ Sink
FJ~t ~m Bidc~ . _ F P~ Sink
~ T~y B¢~ Tap ~ Se~ Sink
~b Sink ~ C~ 5ink Iht ~ T~p
el~te~ Sink S~ Sink Ext ~ T~
S~liz~ ~ Sink
Electric Contractor
Use / Nature of Work
Shamp Sink'
FIr,rWst Sink
Catch ltasin
Wa3h Fan
Ur/nnl
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Sea,dp
OR il] EIV form attached ([fReplaeement)
Sanilary Sewer
Storm Sewer
Water Service
S/ze Mater/al Type # Conn. Type
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Sctwices, 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.
Check here if you wane chis processed Chro_qgh Y_OUr account
Plumbing Permit Work Card
Job Address 1721 WHITE SWAN DR Permit Number 100768 Create Date 04/11/2003
Owner MR /MRS GUNTHER FLEINER Contractor KOCH PLUMBING
Category 410 Residential- Interior Plan Value $10,000.00
.htub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 1 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
Use /Nature r e
SFR/Bath remodel 1/2 bath
of Work 1
Size Material Type Conn.Type
Sanitary Sewer 0 L /p2 7/ (f3
0 4 S 0
0 a C73 1 1 7
Storm Sewer 1
0
0
0
water Service 0
0
0
0
0
Date Type ('4 k f Inspector
77
..e iii, j .---2/- 'it
Date/Time requested: I/ Notice Type: Telephone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived Reinspect Fee Paid