HomeMy WebLinkAbout0100943 POSHKOSH
ON THE WATER
,Job Address 739 JACKSON ST
Contractor GLAZE PLUMBING
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 MATTHEW E WEIDEMAN/A G GRILL
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 100943
Create Date 04/23/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace 40 gal. natural gas water heater
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$525.00 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 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
C/ty of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
APR
DEPAR~
COMMUNITY DEYELOPMENT
Plumbing Permit Application
I hereby apply for a permit to do and install tim following plumbing on me premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which ail parties hereto agr~ t~ and are. bound by said statutes.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to InsPection Serv/ces, PO Box 1128,
Oshkosh WI 54903-1 t28. Cormnenciug work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fuc, wh/ch ever is grcater.
OR
l~ vou_ are' a co'ntraetar vartic_L~ati~t~ in the_Permit Fee_.4ccount_Sy~tem_x~nd~ave adeau~ate .£und~. ch~'ckJierq,
Owner /n4xr,A~--c~ ~.a,~.~ .. Contractor ?):~- Gc4-~.. ~'~
IZ~.~l.~a~ar {21~up~ex D~uitl-~amnr E]~,,ta~ [2Commerdat
Date_~.~~
[~]ludustriai
Number of Fixtures:
Balhtub ..... I_,ndry Standp Dent. Oper.
'Whirlpool Disposal Dip We:Ii
Lavatory ..... Dlshwasl'mr DflnR Ftn
To|]~t ~ Sump Pump Wail St,
Res. Sink _ Ej~toe~13rind it~ Chest
Bar Sink , ~ Water Sofln~r ~ Exam Sink
W~-ifieatet ~ Local Waat~ ~ Sculry Sink
Elect ~ PwrVnt Cloth~ Wshr Hamt Sink
S!mower Bid~ F Prep Sink
Floor Drain ~ ]~e Tap S~m- Sink
Lin/fy Tray ~ Classrm S/nk lnt Grease Trap
Lab Sink ~ Surgeons Sink _ _ Ext Grease Trap
P{asl~r Sink
~ Br~krm Sink
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Swrm Scw~r
Water Service
Size Matexial
Shamp Shtk
FIr/Wst Sink
Ca~ Basin
Wash Fm
Urh~l
~r ~in
C~
le~ Mak~
~f~
Smn~ ~
[-lElectric Installation Verifleatign form attached
(If Replacement)
Type # Conn. Type