HomeMy WebLinkAbout2003-Plumbing (toilet)OSHKOSH
ON THE WATER
.lob,Address 650 WITZEL AVE
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 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 OHIOCUBCOINC
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 CIothesWshr 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 101018
Create Date 04/25/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/ Replace toilet.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$300.00 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
04/25/2003
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing
O./HKO/H
ON THF WATER
I hereby apply for a permit to do and install the followi.ng 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
if you want this processed through your account
Job Address 6,~ ~ /Z~'L Valne,,nc,udin~,aboran~materia,sL_~~' ~(~1
Owner ~ ~O~ Contractor ~ ~/4~, /~.
~Siagle Family DDuplex ~Muiti-Family ~Reatal ~ommerclal
r"]Industrial
,Number ,of Fixtures:
Bathtub.., -,.~-~ . . :::..~
Whirlpool
Lavatory
Toilet /
Res. Sink
Bar Sink
Water Heater
D Gas E Elect D PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Lndry Standp .................................. Dent.. Opm' ....................
Disposal Dip Well
Dishwasher Drink Fm
Sump Pump Wait. St .....
Ejector/Grind lee Chest
Water Softner Exam Sink
Local Waste Sculry Sink
Clothes Wshr Hand Sink
Bidet F Prep Sink
B~er Tap Sev,, Sink
Classrrn Sink lnt Grease Trap
Surgeons Sink Ext Grease Trap
Breakrm Sink
....... Sg~ S!n.k. ........................
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
C~r Drain
,~la l~sp
Coffee Maker
Ice Maker
Si~ Drain
Roof Drain
Standp Rec
Electric Contractor
Use ! Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
,OR [-]Electric Installation Verificati6n form attached
Conn. Type
(If Replacement)
Siffe Material Type #
3/02