HomeMy WebLinkAbout0101002-PlumbingOSHKOSH
ON THE WATER
.lob.Address 3414 EICHSTADT RD
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION
Category 410 - Residential-Interior
Bathtub 2 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 4 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 Lndry Stndp 1 CIothesWshr 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 101002
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 #
$8,000.00 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(
04/24/2003
Rpr' 12
15:24 FAX 920 757 6482
O~ 01: 02p Oshkosh
JIMS PLUMBING
Inspections
002/002
p.1
City of Oshkosh
Inspection Services Division
P O Box t 130
Oshkoslg WI 54903-1130
Phone: (920) 236-5050
Famu (920) 236-$084
Plumbing Permit Application
I h~reby apply for a penT, it to do and install the following plumbing on the premises h~reinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the p~rformancc of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brou .ght to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI $4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fcc, which ever is greater.
OR
!f you are a contractor t~arti¢ivating, in the Permit Eee /lcc~ut~t System and have ade_ouate funds. ¢~teck here
if you want this t~r° cesz'ed thr°u~lt ~ortr account ~_ - -
JSiagle Family E~Duplex r-lMulti-Family [~]Rental [~]Commercial [~]Industrial
Number of Fixtures:
Bathtub '~'~ Lmlry Siandp / Dent. Oper. . ......... Sk~q~ Sink
Toilet ~ Sump Pamp ~ Wiit, SL W~h Fm
~r Sink Wa~ So~ ..... Exam Sink * ~r O~n
~G~ 3 E~ct D P~Vnt C[~ Wshr H~d Sink Coff~ MaWr
Shower B~t F ~ Sl~ [~ ~r
Flor Drain ~ Be~ Tap ~ Sink Sim Drain
Lnd~ T~y Clas~ S~k Iht ~ Trap ~f
~b Sink Sut~ons Sink. Ext O~ Trap Sia~ ~
PI~ S~nk Brea~m Sink
Electric Contractor
Use / Nature of Work
OR
nlElectric Installation Verification form attached
(Irgeplmt)
Sanitary Sewer
gtorm gewer
Water Service
Matmial Type # Conn. Type
04/12/2002 FRI 14iD4 [TX/RI NO 761'21
3/02