HomeMy WebLinkAbout0100799 POSHKOSH
ON THE WATER
.lob.Address 1233 OTTER AVE
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DAVID J/BARBARA VANDAM
Category 410 - Residential-Interior
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 Lndry Stndp 0 CIothesWshr 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 Beer Tap 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
No 100799
Create Date 04/15/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/ 131 Rosalia/Remodel.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$2,000.00 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 04/15/2003
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 W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
04/14/2003 16:43 FAX 920
FIpr- 12 02 01:
757 6482
Oshkosh
JIMS PLUMBING
[nspeot. i. ons
~001/002
p.1
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh. ~VI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-:5084,
O..fHKO. J'H
Plumbing Permit Application
I hercby apply for a permit to do and install thc following plumbing on the premises hereinafter described, ibc work to conform to
Wisconsin State Plumbing Code, in thc 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 l 128,
Oshkosh WI 54903-1128. Commvncing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit tee, which ever is greater.
OR
!f...¥ou are a contractor t~arzicit~at.,i,g in the Permit F~e ~4ccount ~yx. tem and hove ~.dequate funds, check h~'~
(f vou +~ant this w'° ces~'ed thrbu~h ~our account ~
Owner
~ingle Family
Number of Fixtures:
]-']Duplex
Bathtub [
Whirlpool
Lavatory , l,
Toilet t
R~. Sink
Bar Sink
Water H~at~r
~2 Gas 21 Elect 13 PwrVnt
Shower
Floor Drain
Lndry Tra~
Lab Sink
Plaster Sink
Stcrilizcr
Lstdry Standp
Disposal
Sump Pump
E~c:t~r/Grind
W-~ Icr SoRncr
L~I W~lo
Clmhe~ Wshr
Surgeon~ Sink
B reakrm Sink
Contractor _~r', ,~,; pl 7
[-']Multi-Family [~Rental ['-]Commercial
[-']Industrial
Dent. Oper, Shamp Sink
Dip Well Fb'lWst Sink
Drink Pta Caleb Basin
Wait. SI. Wash Fm
icc Cheat ~ Urinal
Exam Sink Gar D~in
Sculry Sink Soda Disp
~nd Sink Coff~ M~r
F Prep Si~ Ice Mak~
S~ Sink Si~ Drain
I~t Grease Trap ~ ~f Drain
Ext O~a;e Trap ~ Standp Rcc
Electric Contractor
[-']Electric Installation Verification form attached
CI f Ileplac~men0
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water $crvicc
Size
Matcrlal
# Co,In. Type
3/'02
04/12/2002 FRI I4~04 [TX/RI NO 761'2]