HomeMy WebLinkAbout0100941-PlumbingOSHKOSH
ON THE WATER
,Job Address 1155 FREEDOM AVE
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HARRY L/DOLORES WINTERS
Category 410 - Residential-Interior
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 Lndry Stndp 0 ClothesWshr 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 100941
Create Date 03/28/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Remodel lower level into family room, bedroom and 3/4 bathroom.
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 04/23/2003
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 W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
04/23/2003,~10:51 FAX 920 757 6482 JI~S PLUMBING ~001/002
Rpr 11~ 01~ Oi:OEp Oshkosh
I nsp~ct ions
920-23G-5084
p.1
City of Oshkosh
Inapection Servic~ Division
P O Box 1130
Oshkosh) WI $4903-1130
Phone: (920) 23~5050
Fax: (920) 236-5084
Plumbing Permit Application
I h~eby apply for a permit to do and install the following plumbing on the tm~mi~s he~inaf~r do.~rib~d, ~hc work to coafonn to th=
Wisconsin State Plumbing Code, in the p~rfotman0e of which aB parties hereto agrc~ 1~ and ate bound by said slamtcs.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fcc, which ever is greater.
OR
[/'you Ore a contractor t~arttcirsatin~ itt the Permit F~e /lccounl Spstem and have ade_auate funds. ,check h~r~.
(£ vou want this .m'ocessed through your ac~oun~ ~f
Owner ~; ~'t'~'t ~-~"t?/'-, Contractor
~.~ingle Family E]Duplex ['-[Multi-l~'a mtly ['-]Rental ['-]Commercial [_-]Industrial
Number of Fixtures:
8alhiub Ladry Stamip D~nt. Opcr. Shamp
Whirl~ol Dis~al ~p Well FIr/Wsl Sink
~va~ ~ ~sh~sh~ ~ink Ftn Catch ~sln
Toilet / S~p Pu~ W~I, SL W~h Fm
~r ~nk Wat~ S~ ~nm Si~ ~ ' ~ ~n
W~et H~r ~al Waste ~ul~ Sink .. $~ Di~
"' Gas ~ EI~ D P~Vm Cl~hes Wshr Hand ~nk Coffee M~r '
~hox~r · ~ - BM~ F P~ S~ Ice Maknr
~oor Drain
Lnd~ T~y C~ss~ Sink l~ Grease Trap ~f~
~b ~k
~s Sink ..... H~ Gr~s~ Trap _._ $m~p ~
Ph~ S~nk ~rea~ Sink
Steriliz~
Electric Contractor
oR
['-]Electric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Sanita~ ~wor
Storm Sewer
Water Service
Size
Material Type # Conn. Type
04/12/2002 FRI 14104 [TX/RI[NO 7612]
3/02