HomeMy WebLinkAbout0101259-PlumbingOSHKOSH
ON THE WATER
.lob .Address 460 462 N MAIN ST
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BENT BLOCK OSHKOSH LLC
Category 440- Industrial-Interior
Bathtub 11 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 13 Water Softner 0 Drink Ftn 0 Serv Sink 1
Lavatory 12 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 12 Lndry Stndp 2 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 12 Disposal 12 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 12 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 13 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 101259
Create Date 02/20/2003
Plan D2-14-0203-P
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work COMM/MULTI-FAMILY/ REMODLE 2ND AND 3RD FLOORS FOR APARTMENTS, FIRST FLOOR FOR RETAIL TENNANTS
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$58,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$606.00
Date 05/05/2003
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(
08:29 FAX 920 757 6482 JIMS PLU31BING ~001/001
05/02/2003
820-~36-S084
p.1
City of Oskkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI $4903~1130
Phone: (920) 236-5050
Fax: (920) 236-5084
OJHKOj"H
ON ¥1-/~ ¥1^TF.R -
Plumbing Permit Application
[ hereby apply for a permit to do and install the following plumbing on thc premises heroinafter described, the ~vork to conform to the
Wisconsin State Plumbing Code, in the per£ormancc of which all parties hereto agree to and are hound by said statutes.
Application(s) and tee(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 &cs heine doubled or $100.00 plus the
normal permit fee, wlfich ever is greater.
O~
I_f__.vou are a co~lractor parti¢ipatln~ in the Permit Fee ~¢¢Ount...$Fstem and have adeq,tate funds, cheek here
(f ¥ou ~Vq~nt thl,v ~roc¢$sed th~_~u~h ~ottr account ~ ' '
Owner .~ t_~. ~'c. Ja re ~e.~2~ , , Contractor
~$1ngle Family [~Duplox ~Mulfi-Family [~Rental [~Commereial [_-]Industrial
Nmnber of Fixtures
Whir~poo! Diagonal .,, ~ ,~, Dip Well ~ FIr/W~t ~ink
~vato~ ~ Oistlx~flmr , ~ ~ Drink Fin ~ Catch
Toil~ ~ ~ Sump Pump ~ Wait. gr. ~ Waah Fin
Rcs. Sink . - ] ~ EjcctoffGrlnd lac Chext ~ Urinal
Bar Sink Walcr So~cr Exam Sink ,, ', ~r D~in
Water Heater ~J~ ~eal Was~ Scul~ Sink _ __ Soaa Dis~
2 Gas ~leet 0 ~Vnt C[othes Wshr Hand Sink Coff~ Maker
Shower [ ~
~ [dec P P~p Si~c [cc Maker
F~r Drain ~ ~ Beer Tap - ~_ Se~ Sink ~ ~it¢ Drain
Lndry ~tay Class~ ~ink Im Otc~sc Trap ~ R~f Dm{n
Plaster S[nk "'
Breakrm Sink
S~erilizer
Electric Contra¢¢or
OR
[~l~lectrlc Installation Verification form attached
Cfr Repia¢cmen0
Use / Nature of Work
Sanitary Sewer
~1 toxTn ~exver
Water Service
Material Type #
o4/x2/g0oa PHI 14~o4 [TX/RX ~0 76i~]
3/02