HomeMy WebLinkAbout0101258-PlumbingOSHKOSH
ON THE WATER
.lob .Address 605 GOLDEN IRIS DR
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TIMOTHY/DENISE GUAY
Category 410 - Residential-Interior
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
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
No 101258
Create Date 01/08/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Finishing off a portion of the basement to include a family room, den and full bathroom.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
$2,000.00 Plan Approval $0.00 Permit Fees
# Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
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(
05/02/2003 08:33 FAX 920 757 6482 JI~S PLUMBING ~001/00!
" ~ ~ 1~ 02 Ol:02p O~hko~H Inspections
920-~36-508~
p.1
City of Oshkosh
Inspection Services Division
P OBox 1130
Oshkosh, WI $4903-1130
Phone: (920) 236-$050
Fax: (920) 236-$0S4
(3d'HKO.J"R
ONI THFi ¥1ATER
Plumbing Permit Application
l iereby apply for a pcrmk to do and install the following plumbing on the preraises herc/l~afier described, thc wo~k
Wisconsin State Phtmbin~ Code, ~ tho p~rformance of which a~ p~es he~eto a~rce to and are bo~ by said sta~ies.
Application(s) and fee(s) can be brought to CiW Hall, Room 205 or mailed to hspec~on So, ices, PO Box 112~,
Oshkosh WI 54903-112~, Cementing work wi~out permit(s} will r~ult in fees b~ing doubled or $100.00 plus
no~aI pe~it fee, which ever is ~eater.
~f ~ou ore a ~ontractor partici~ati~ i~t the ~erml~a~ ~eco~nt, ~Fstem and ~ap~ adequate fund~, ,c,~eck
~f you ~oant this ~roqes~ed through .~ottr account ~
Owner
Contracto~
~Single ~amily ~Duplex ~Multi-Family ~Rental ~Commercial ~Industrial
Number of Fixtures:
Bathlub / Lndry Slandp Dent. Oper, Sbamp Sink
Whirlpool Disposal Dip W~ll ,, Flr/W~t Sink
~vato~ ~ Dlahx~sher DHnk Fin Calch Basin
Toilet / Sump Pump ....... Wait, St. Wash Pm
Res. Sink Eje~tor/Odnd lee Chest ~ Urinal
Bar Sink Water Soflngr ~ Exam Sink Onr Dtmin
Water Heater Local Waslo ......... gulf Sink , , Soda DJ~
~ Gas '3 ~{ect ~ P~Vnt CIo{~es Wshr ~and Sink Coffee ~uker
~{iower Bidet F Prep ~h*k .... ice Mak~
Floor Drain Beer ~p .,. ~ Sink Site Drain
Lnd~ T~y Clags~ Sink Jar Oreuae Trap ,, Roof Drain
~b Sink Sur~ Sink Ext Orcasc Tap Standp Rca
P ha~er Sink Breakrm Sink
Electric Contractor
,OR
r-}Electric Installation Verification form attached
(If Replaeum~t0
Use / Nature of Work
Sanitary $mwor
Stol~n Sewer
Water Service
Sizu
Material Type # Conn. Type
2/02
04/12/2002 FRI 14'04 [TX/RX NO 761~]