HomeMy WebLinkAbout0101391-Plumbing (bathroom)OSHKOSH
ON THE WATER
,Job Address 530 PYLE AVE
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 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 JAMES C REIFER
Category 410 - Residential-Interior
1 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 101391
Create Date 05/09/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace bathroom fixtures.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$2,500.00 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
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permd!
I hereby apply for a permit to do and install the followi.ng plumbing on the premises hereinafter describe~l, 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 Services, PO Box 1128,
Oshkosh WI 54903-1128. Co.mmencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lf you are a contractor p. articipating in the Permit Fee ,4ccount System and have adeouate fund$._ check here
(f ¥o.u want this processed through your account [-~
Job Address ~?~0
Owner Contractor
l~'lle Family [--]l)nplex F-lMulti-Family
Number of Fixtures:
Bathtub l.ndry Standp
Whirlpool Disposal
Lavatory / Dishwasher
Toilet / Sump Pump
Res. Sink , , Ejector/Grind
Bar Sink Water Softner
Water Healer Local Waste
D Gas D Elect D pwrvnt Clothes Wshr
Shower ~ Bidet
Floor Drain Beer Tap
Lndry Tray , , . Classrrn Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer ,
[-']Industrial
Dent. Oper.
Dip Well ' :' ';:: <~"" ,: Flr/Wst Sink
Ddnk Ftn " CaSh BaSin
Wait. St. Wash Fm
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink ~oda Disp
Hand Sink CoflL. e Maker
F Prep Sink lee Maker
Serv Sink Site Drain
Int Grease Trap Roof Dmln
Ext Grease Trap $te~lp Rec
Electric Contractor
Matedal T~e 0
S~ Se~
Sto~ S~
O'R I==]Electric Install&tion verifleati6n form attached
Water Service
Conn. Type
3/02