HomeMy WebLinkAbout0101001-PlumbingOSHKOSH
ON THE WATER
,Job Address 3422 EICHSTADT RD
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION CORP.
Category 410 - Residential-Interior
Bathtub 2 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 3 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 Lndry Stndp 1 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 1 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 1
No 101001
Create Date 04/04/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$8,400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$102.00
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 W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
~ 047~4/2003 15:23 FAX 920 757 6482 JIMS PLUMBING ~001/002
Rpp i:~ 02 01:0~p Oshkosh Inspeo~ions
8~0-~36-5084
p.1
CiW o£Osklcosh
Inspection Services Division
P O Box ti30
Oshkosh, WI $4903-1 ~30
Phone: (920) 236-$050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit to do and install ih= following plumbing on the premises hereinafter described, the work to conform to ~e
Wisconsin State Plumbing Code, in tho 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. Commenoing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fcc, which eve= is grea~r.
OR
[_~f you are a contractor l~articioatinF, in the Permit Fee ~dccount System and hove adeouate funds, c/~ec/c her.'
ff vou want this vrocessed through Four account ~ ' -
Ow,er .~. f---.t't~', ~r~{ ¢~' Contractor
¢Stngle Family [~]Duplex n-]Multi-Family [-IR~atal [-]Comm~reial FqInaustrl-1
Number of Fixtures:
Bathlub , '~- Lndcy Standp / Dent. Oper. _ Shamp Sink
!.Vhitlpoot Dilposal ~ Dip ~V~I F~$1 Sink
~va~ .~ _ msh~cr ~__ _ Dri~ Fm ~tch Basin
Toilet ~ S~ ~mp / Wait. St. W~h Fm
~r Sink Water So. ct .... ~am Si~ ~r
Wn~ H~
X~ 3 ~l~t D P~Vnt C[o~hes Wshr ~ ~nnd Sink Coff~ Maker
Shower $ 8id~ F P~p Sink {cc Mak~
Flor Drain
Be~ T~ ~ S~ Sink Si~ Drain
Lndry T~y Cla~ ~ iht Oren~ Trap ~f ~aln
~b S~k ~r~ SIRk ~t
P~ S~ Brea~
Electric Contractor
Use / Nature of Work
OR
[--]Electric Installation Verification form attached
(If Rapla~en-~at)
Sanitary Sewer
Storm Sewer
Materla I Type # Conn. Typ=
Wat'~r Service
04/12/2002 FRI 14i04 [TX/RX NO 761~]
3/02