HomeMy WebLinkAbout0100947 POSHKOSH
ON THE WATER
.lob Address 1530 VILLA PARK DR
Contractor RAPID SOFT LLC
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHARLES V/SUNI HANNAN
Category 411 - Residential-Water Heaters
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100947
Create Date 04/23/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater for Sears.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$500.00 Plan Approval $0.00 Permit Fees
Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
04/23/2003
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236.5050
Fax: (920) 236-5084
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 11'28,
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 ~our account
Job Address / ~.~o 1.~/~ /~- /~,~/~' Value (~c~.ding~bo~andmat~a~s~
Owner {~,-r/."c_ {~/~., .... Contractor
[~ingle Family [-]Duplex [-]Multi-Family [-]Rental [-]Commercial
[-~Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Fm
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater I Local Waste Sculry Sink
~as F~ Elect D PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Si~k
FIoor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink lnt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
lee Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Size
Material
O'R [-']Electric lnstalifition VerificatiOn form attached
(If Replacement)
T~e # Co~.T~e
Storm Sewer
Water Service