HomeMy WebLinkAbout0100991-PlumbingOSHKOSH
ON THE WATER
Job Address 545 BOYD ST
Contractor DRUCKS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner ORLAN RAHN
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 1 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 LndryTray 0 LocaIWaste 0 Wait. St. 0 ShampSink 0
Toilet 1 LndryStndp 1 Clothes Wshr 1 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
BarSink 0 Dishwasher 0 BeerTap 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 100991
Create Date 04/23/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature SFR/Remodeling the 2nd floor bathroom.
of Work
Valuation $3,000.00
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $30.00
[] Permit Voided
Date 04/25/2003
Signature/~,~In the perf(~rm/ance ~f~'is w°rk' i~,~°rm all w°rk pursuant t° rules g°verning the described c°nstructi°n' .j~/~ Agent/Owner Date
Address PO BOX 355 MENASHA WI 54952 - 0000 Telephone Number
426-2654
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O./HKO/H
O~ 1'1~ 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.
· 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
Owner ~4~Cda /~00 m4 ~y~ Contractor
J~Single Family ]-']Duplex ['-]Multi-Family
Number of Fixtures:
l
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Value (Including labor and materials) ~(~ Date
[--]Rental [--]Commercial '['-]Industrial
D Gas ~ Elect ~ PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Dent. (3per. Shamp Sink
Dip Well Flr/Wst Sink
Drink Ftn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
[--]Electric Installation Verificatidn form attached
(If Replacement)
Size
Material
Type
# Conn. Type
3/02