HomeMy WebLinkAbout2003-PlumbingOSHKOSH
ON THE WATER
.lob Address 3866 PURPLE CREST DR
CITY OF O§HKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DEWEY HOMES INC
Contractor P&S PLUMBING Category 410 - Residential-Interior
Bathtub 2 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain I Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 2 LndryTray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 2 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal I Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher I BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 S?mp Pump I 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 100262
Create Date 02/17/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature NSFR/I story home with a 2 car attached garage, 14'x12' rear patio.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $5,200.00 Plan Approval $0.00 Permit Fees $78.00
Issued By~'~'
Date 03/18/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~ ~-~¢,.~. Date
Agent/Owner
Address PO BOX2153 APPLETON WI 54913 - 0000 Telephone Number
734-3912
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
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 54903-1128. 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
(f vou want this processed through your account ~
Job Address ~> oc Fa ~ ~MtZ~'/_- t.~ Value (Including labor and materials)
Owner Contractor.
[7~ingle Family [~Duplex l--]Multi-Family
Date
[-]Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory 2-
Toilet ~2 '
Res. Sink
Bar Sink
Water Heater
$ Gas [] Elect [] PwrVnt
Shower
Floor Drain /
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Lndry Standp J Dent. Oper.
Disposal ~ Dip Well
Dishwasher I Drink Ftn
Sump Pump I Wait. St.
Ejector/Grind Ice Chest
Water Softuer Exam Sink
Local Waste Sculry Sink
Clothes Wshr Hand Sink
Bidet F Prep Sink
Beer Tap Serv Sink
Classrm Sink Int Grease Trap
Surgeons Sink Ext Grease Trap
Breakrm Sink
OR
Shamp Sink
Flr/Wst Sink ,
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
[~]Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
# Conn. Type
3/02