HomeMy WebLinkAbout2003-Plumbing (sink)OSHKOSH
ON THE WATER
.lob Address 749 PROSPECT AVE
Contractor GLAZE PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WILLARD/M BUNKER
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100944
Create Date 04/23/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace kitchen sink
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$900.00 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 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, 5lr154903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
APR 1 1
DEPARTME ) KC)f
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereina~er descffbed, the work to conform to the
Wisconsin State Plumbing Code, in thc pcrfonnauce of which all parties hereto agree to and are. hotrod 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 thc
normal permit f~c, whioh ever is grcater.
OR
tf_vo~ arena _c_ontractor varticivatin~ in the_ Per_mit Fee Acc_aunt System and~ave adeagate funds, clv~ck ~ere
Owner ~s'~r~ ~, /'¢~,~-~ '~<_ Contractor ~2 C~,..~-~-c t°~e:
[~ngle Family ~Duplex I-']Multi-Family [-'{Rental ['-]Commercial
['T]Industrial
Number of Fixtures:
Whirlpool .... .
Lavatory
Toilet
Res. Sink ~
Bar Sink
Wa~r Heater
Floor Drain
Lndry Tray
Lab Sink
p]aster Sink ~
Electric Contractor
Use / Nature of Work
Sanitary Sewer
SWrm Scw~r
Water Service
Dislx~al Dip
Dtsh~,~tmr Drin~ Fm
Sump Pu~ Wa~, St.
Ej~lOfind i~ Ch~t
Wa~ S~ ~ Exam SMk
L~ W~ ~ Scul~ Sink
Clo~ Wshr Ha~ Sink
Bidet F Pr~ Sink
~ T~ Se~ Sink
~rg~s Sink _ ._ ~t Gr~ T~p
Br~
Size Mat~i-al .... Type
Shrimp 8iak
Flr/Wst Sink
Wash Fm
Coff~ ~k~
Icc Mak~
Si~ ~
R~f~
Smn~ ~
[--~ElectHc Installation Veriflcatlgn form attached
Of R~acemem)