HomeMy WebLinkAbout2003-Plumbing (kitchen sink)OSHKOSH
ON THE WATER
.lob ,Address 1212 WASHINGTON AVE
Contractor GARTMAN MECHANICAL
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 1 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 JIMMIE G/DONDRA RUDD
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 101126
Create Date 04/30/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install owner's kitchen sink.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$450.00 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
04/30/2003
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 520W SOUTH PARKAV OSHKOSH WI 54902 - 0000 Telephone Number
920-231-5530
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
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the prem/ses 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 Se/vices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without p6rmit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If },ou are a contractor participating in the Perm~ee ~lccount $~,stern and have adequate funds, check here
if you want this processed through your account ~
Job Address t~\~ It ~f3~Lf'~-~.3~ Value (Inctuding labor a, nd materials) ~"~:"~O~ O0 Date~/c~b/0-~
~.S~. g~9 ?,.amily ['-]Duplex [~]Multi-Family [-]Rental r-lCommercial i--Ilndustrial
Number of Fixtures:. -~"~.'ii'~ '??.;:' '~ .......... ~'~i' ''~:'' :-'~x, '---y .:x :-~. ~ :~:,.~, ~:.: u-: ;,--~-~:.:-: ....... :,x,~-:~?:,.:: .~'~.' .~ ............. ' .............. --
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. .:.Fa]
Res. Sink Ejector/Grind Ice Chest Urinal ...
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
[] Gas E Elect ~ PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Se[v Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink- Ext Grease Trap, Standp R¢c
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use .~atu~e, O~'W°r~~TL~
[-']Electric Instalhition Verificatidn form attached
... (If- ' -Replacement) , ~,
Size
Sanitary Sewer
Storm Sewer
Water Service
Meterial Type # Conn. Type
3/02