HomeMy WebLinkAbout2002-Plumbing (re-pipe fixtures) �
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� CITY OF OSHKOSH No 97932 �
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OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ;
ON THE WATER
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Job Address 121 PROSPECT AVE Owner LEE J TRITT Create Date 10/09/2002 �
Contractor KOCH PLUMBING Category 410-Residential-Interior Plan €
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Bathtub 1 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 Serv Sink 0 Soda Disp 0 =
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Lavatory 1 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Toilet
Res.Sink 1 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 b
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
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Use/Nature UPLEX/121A/Re-pipe kitchen&bath fixtures(2nd floor). ;
of Work
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Size Material Type # Conn.Type
Sanitary Sewer 0
0
0 s
0
0
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Storm Sewer 0
0
0
0
0
s
Water Service 0
0 #
0
0 `
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0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $24.00 -
Issued By ��1 Date 10/10/2002 `
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� Permit Voided � �
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In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner `
Address 2005 DOTY ST OSHKOSH WI 54901 -0000 Telephone Number BUTCH(C)379-8753 ;
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Glty o(Oshkosh �
Inspection$erviees Divisfoa �
P O BoY 1130
Oshlcosp,W[S49p3-1130
Phoue:(920)t36-5050 ���
Fa;:(920)236-5084
ON TME WATER
Plumtbin Permit A �� I�cation
C hcrcby apply for a pemut to do sr�d insptll the fotlowing plumbing o[►the premises hereioafter described,tht work to conform to the
Wisconsin State Plumbing Code,iA tltt perforn�ance of which all parties hereto agxee to and are botmd by ssid statutes,
dob Address Z ./��S�i�Cr/' , V�IUC(tntluEing Iapp�anQ tt�terials)��zao �' Date /Q�$—OZ
Owp�C ��� T�rr ConCractor �� 6 � yf�' �,�/�'
�Siagte Famtiy �Dup�ex ❑Multi-Family ❑Rental []Co�nrnercial �IndustNal
Number o[Fiactures:
B°��b � Lndry Sn"dp bcnt.Opct• __ Sh�mp Sink
WFurlpool Di:poos� Dip Weli Fk/Ws1 Siek
U"��' � Dishwufier Drinlc Fm Csech Bssin
Tdla ,�_ Sump Pump wait.St Wuh Fp�
Rc�.Sink _�� EjectodOrind (ce Chest Urinal
Bu Sink W�ta Soffier Eium Sink pu p��
Water Heater 1.oCa)W�ste Scuhy Sinlc ��pjsp
Shower Cbthec W�hr H�nd Sink Coffee l�l�kef
Floor Dnin Bides F Prep Sink ke Makt►
�ry T� �T� �'S� Sik driin
Lsb Sink Ctsst�m Sink Int Gre�se Tnp Roof bnin
Plaaler Sii1k Surgeont Sink ��r„r,�j� S��
S�� Brealam Sink
Electric Cootractor OR L� �IV form attached(Yf Replacement)
Use/Nature of'VVork ,��r'`/�//'��" ilir�',�r•�;:� ,�891� ,��Xlv�s �2��c�e�
Size Material Typc # Conn.Type
Sanit�ry Sewer
Sto�m Sewer
Watec$ervia
• Application(s)and fee(s)can bc brought to City Hall,Room 205 or mailed to Inspoction Services,PO$ox 1128,Qshkosh WI
54943-1128. Commencing work without permic(s)will result in fees bemg doubled or S I00.00 plus thc norcnal permit fcc,
which e�vcr is greater.
OR -- -
Check het'e if you want this ptoceased thrvugh yvur account �' �
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L0 3�JCd � �NI 9NIfiWfl�d H�0�1 Z8Z09EL0Z6 8Z�80 Z00Z/60/0i