HomeMy WebLinkAbout0101388-Plumbing (kitchen sink)OSHKOSH
ON THE WATER
,Job Address 1241 WISCONSIN ST
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GEORGE F CIHOWIAK
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 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 101388
Create Date 05/09/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace kitchen sink & faucet.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,156.00 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
05/09/2003
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
Ra:C Iv
Oshkosh, WI 54903-1130
Fax: (920) 23~5084 o~ ~ w~f,
aAY 0 9 200~
Plumbing Permi~
CO~U~[T~e~"~' ~ *, work ,o confo~ to the
I hereby apply for a pe~t to do and ~stall the following plumbing on the pre~ses ~ '
Wisco~in S~te Plumbing Code, in ~e peffo~nce of which all paffies hereto agree t~nd are ~d by said s~tes.
Applicaion(s) and fee(s) can be brought to Ci~ Hall, Room 205 or mailed to ~spection S~ces, PO Box 1128,
Oshkosh WI 54903-1128. Co~m~cing work without pe~it(s) will result in fees ~ing doubled or $1~.00 plus the
no~al p~it fee, which ev~ is ~eater.
OR
l~ou a~e a coatractor Darticipating in the Permit Fee ~ccount $Vstem and have agequate fuad~, ~heck here
i[you want.thi~.Proces~ed through vour account
ow.e,
~ngle Family ~Duplex ~Multi-Family ~Rental ~Commerelsl ~ludus~lal
Number of Fixtures:
Bathtub , , Lndry S~nndp Dent. Oper. Shsmp Sink
Whirlpool .... Disposal Dip Well FIr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Rssin
Toilet Sump Pump Wait. St. Wash Fin
R.. Sink ~.~ } Ejector/Grind Ice Chest Urinll
Bar Sink Water Softner Exam Sink Gor Drain
Water Heater Local Waste Sculry Sink ~ Disp
D Gas rj Elect 0 l~rVnt Clothes Wshr Hand Sink CoffL, e Maker
Shower , ,, Bidet F Prep Sink ~ee Maker
Floor Drain Beer Tap Serv Sink Site Drain
Lndry Tray , Clsssrm Sink Iht Grease Trap Roof Drain
i.nb Sink Surgeons Sink Ext Grease Trap Stnndp Rec
Plaster Sink Bteakrm Sink ....
Sterilizer ,,,
Electric Contractor
'Use / NatUre of Work .//~ ~/~ ff_~(~
Size Material
Sanitary Sewer
OR. [-']Electric Installation Verlfleatl6n form attached
Storm Sewer
Water Service
(If Replacement)
!
Type # Conn. Type
./
3/02