HomeMy WebLinkAbout0093922-Plumbing (sump pit & pump) i
r « &'
� CITY OF OSHKOSH No 93922 `
�
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 562 MONROE ST Owner KARIN J GEHRKE Create Date 04/30/2002
;
Contractor GLAZE PLUMBING Category 410-Residential-Interior Pian
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Weil 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FINWst Sink 0 Int Grease Trap 0
Res.Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 1 Dent.Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Piaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature FR/Install clear water sump pit&pump in basement.
of Work
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $20.00
Issued By � Date 04/30/2002 F
� Permit Voided;
In the perFormance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date �
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 -6873 Telephone Number 589-4014
� �
C;t��of Oshkosh
Inspection Ser�ices Di��isioii
P O Box1130
O.hkosh, NI Sa903-1130
Phone: (920} 23t,-SOSd o1HKO H
; F.la: (9l0)236-5084
ON THE WATER
Plumbi,u� Permi Application
I hereby apply far a pernut tu do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of�vhich all parties hereto agree to and are bound by said statutes.
Jub Address_ ��� /'"lq�;�aE ST VaIUE' (lncluding labor and materials)��Z� Date � C��
��vner �Gta�� C�N�K� Contractor �-�- G��zc /��s�
[ Single Fatnily ❑Duplex ❑Multi-Family ❑Reatal ❑Commercial QIndustrial
Nurnber of Fixtures:
Ba�htub Ladry Standp Dent.Opec Shamp Sink
Wl�irlpoo} Disposal pip Wel] Flr/Wst Sink
La�aiory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump �_ Wait.S[. Wash Fm
Res.Sink £jector�Grind lce Chest Urinal
Bar Sink Wa�er Sofiner Exam Sink Gar Ihain
W:�ter 1{eater Local 1�'aste Sculry Sink Soda Disp
Shx�°er Clothes\�'shr Hand Sink Coffee Maker
F1c4r Drain 8idzt F Prep Sink Ice Maker
Lniry Tray Betr"I'ap Sen�Sink Site Drain
La�Sink Classrm Sink int Grtast Trap Roof IJrain
Pl�ster S�nk Surgeons Sink Ex[Grease Trap Standp Rec
Strnlizer Breakrm Sink
Etectric Cantractor OR ❑ EIV form attached (IfReplacement)
ti se/Nature uf Work �.k'X �1�-�- �' s "- � ,�
�—�
Siae Material Type # Conn.Type �� � ��S 7
Satutary Sewer
���
Storm 5ewer
�f j�,���
Water Service
• Application(s}and fee(s)can be brought to City Hall, Room 205 or mailed to Inspecrion Services,PO Box 1128,�shkosh WI `,
54903-1128. Commencing wark without permit(s) «�ill result in fees being doubled ar$lOQ.00 plus the normal permit fee,
which ever�s greater.
OR
Check here if You want this processed through your account []