HomeMy WebLinkAbout092850 - Plumbing (laundry tray) CITY OF OSHKOSH No 92850
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1838 MOUNT VERNON ST Owner MYLES/ALFRIEDA LEUTHOLD TRUST Create Date 02/27/2002
Contractor GLAZE PLUMBING Category 410-Residential-Interior Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 1 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res.Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
Use/Nature SFR/Install laundry tray for automatic clothes washer discharge&address code violations.
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $1,700.00 Plan Approval $0.00 Permit Fees $20.00
Issued By 1<YY1 Date 02/27/2002
I I 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, WI 54903-1130
—
Phone: (920) 236-5050
OfHK0/H
Fax: (920) 236-5084
ON THE WATER
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.
Job Address 1$3$ 0y-r- V t-'7. .i Value (Pict-) Date 2/2.6./o2_
Owner 1"1y/ems Le L Contractor A TZ C,L-A--zE- P...6)
Eigingle Family (Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent.Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn
Catch Basin
Toilet Sump Pump Wait.St. Wash Ftn
Res.Sink Ejector/Grind Ice Chest Urinal
liar Sink Water Sultrier Exam Sink Gar Drain
Water I!eater Local Waste Sculry Sink Soda Disp
Shower Clothes Wshr Hand Sink Coffee Maker
Floor Drain
j Bidet F Prep Sink Ice Maker
Lndry"fray 1 Beer Tap sery Sink Site Drain
Lab Sink Classrm Sink Int Grease Trap Roof Drain
Plaster Sink Surgeons Sink Ext Grease Trap Standp Rcc
Sterilizer lireakrm Sink
Electric Contractor
Usc/ Nature of Work 34 L-T -C.,— Act4 , i, 4- Ccele. V; le4-a
Size Material Type # Conn.Type
Sanitary Sewer ./ -3`
VVV
42c9.-
Storm Sewer 1l- "�-
Water Service
Check here if you want this processed through your account 0
Plumbing Permit Work Card
Job Address 1838 MOUNT VERNON ST Permit Number 92850 Create Date 02/27/2002
Owner MYLES/ALFRIEDA LEUTHOLD TRUST Contractor GLAZE PLUMBING
Category 410-Residential-Interior Plan Value $1,700.00
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 1 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res.Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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
UselNature SFR/Install laundry tray for automatic clothes washer discharge&address code violations.
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0 , 'a- a-7 -O
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date Type Inspector Approved
1