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2003-Plumbing
e CITY OF OSHKOSH No 101473 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2059-2087 WITZEL AVE Owner WITZEL AVE CENTER LLC Create Date 05/14/2003 Contractor JIM'S PLUMBING Category 440 - Industrial-Interior Plan Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 - - - - - - Whirlpool 0 Floor Drain 7 Water Softner 0 Drink Ftn 7 Serv Sink 7 Soda Disp 0 Lavatory 14 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 - - - - - - Toilet 14 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst 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 7 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 6 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature of Work COMM/ Plumbing for the "strip" portion ONLY - not the Mr Cinder's portion. Size Type Material Sanitary Sewer Storm Sewer Water Service # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $372.00 Valuation $64,000.00 $0.00 Permit Fees Plan Approval Issued By Date 05/14/2003 U Permit Voided I Signature In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Date Address Agent/Owner GREENVILLE 757-5258 OR 757-641 W-6166 GREENVILLE DRIVE WI 54942 - 0000 Telephone Number 05/14/2003 08:11 FAX 920 757 6482 JIMS PLUMBING ", ~Apr 12 02 01:02p 920-238-5084 Oshkosh Inspections City of Oshkosh Inspection Services Division PO Bo( 1 13D Oshkosh. WI 54903-1130 Phone: (920) 236-50S0 Fax: (920) 236-5084 Por fÂ4-" Çfr/t D ~ - "i:- .¡- fi--.. Œ,~¿"~J (tr-hØJd " "... lorlf ..J ¡v1r;, Plumbing Permit Application It! 001/001 p - 1 ~ ~Q.{8 I hereby apply for a permit to do and install the foUowmg plumbing on the premises hereinafter- descnòeð, the work to confonn to the Wisconsin State Plumbing Code, in the performance of which aD parties hereto agree to and are bound by said statutes. Application(s) and feces) 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 fees being doubled or S100.00 plus the DOnna} permit fee. which ever is greater. OR TO tor ar" in in the Perm' ,. u hour t . Job Address ;?oS', - tøY7 u,1¡;¡J Owner ÆJrtilf ~fvf-J DSingJe Family DDuplex Value (Including labor and materials) G,c.,tooO .::r, ,t,:" (J( ~ []Rental ~ommerCial Contractor DMulti-Family Number of Fixtures: Bathtub WI1ÏrTpool Lavatory Toilet Res. Sink &r Sink W;¡tcr Heater -.:::L- ::: Gas J( Elect a PwrVnl Shower F1oor Drain ....1-- (.ndty Tf/lY Lab Sink Plaster Sink Sterilizer Lndry SI;¡ndp Disposal Dishwasher Sump Pump Ejector/Grind Water Sollner LocaJ Wasto Clothes Wshr Dent. Oper. Dip"'e! Drink Fin WaÌl,Sl Ice CheSt Exam Sink Scull')' Sink Hand Sink ß..... ~ -::L. - Elidet F Prep Sink Sarv Sink Int Grease Trap Ex! Grease Trap Beer Ta) Classnn Sink Surgeons Sink BreaknnSink ~ Electric Contractor Date Ç!tý/o3 OIndustrial Shamp Sink FlrlWsl Sink Catch Basin Wash Fill Urinal Gllr Drain Soda Disp Coffee Maker Ice Maker Site Dnlin Roof Drain SllIndp ~oc .l2- QB DElectrlc Installation VerificatioD form attached ({{Replacement) Use I Nature of Work Size Conn. Type Material Type # SanitaIy Sewer Stonn Sewer Water Seráce _... 04/12/2002 FRI 14:04 {TX/RX NO 7612] 3/0"2 Job Address 2059-2087 WITZEL AVE WITZEL AVE CENTER LLC Plumbing Permit Work Card P~"!,.it."iu!,,_~£!,,,~-- 101473 Contractor JIM'S PLUMBING & HEATING INC Create Date 05/14/2003 Category 440. Industrial-Interior Plan Value $64,000.00 Bathtub ---.!1 Shower 0 Water Softner 0 Wai!.S!. ~.. Sh~mp Sink ---.!1 Coffee Maker ---.!1 Whirlpool 0 Floor Drain 7 Local Waste 0 Ice Chest 0 FlrlWst Sink ~ In.tGre~se Trap ---.!1 Lavatory 14 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin ---.!1 Ext Grease Trap ---.!1 Toilet, ~ Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn ---.!1 RPZ Valve ---.!1 Res, Sink ---.!1 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal ~ Eye Wash Statn ---.!1 Bar Sink ---.!1 SumP Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec ---.!1 Wtr Sewer Mtrs 0 Water Heater 7 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker ---.!1 Deduct Meters ---.!1 Site Drain ---.!1 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs ---.!1 ~ Ejector/Grind 0 Drink Ftn 7 ServSink 7 Soda Disp ---.!1 0 Conn.Type COMM/ Plumbing for the "strip" portio" ONLY - riõfthe Mr Cinder's portio". Size Material Type # 0 0 0 0 0 0 0 0 0 0 Type Final 0 0 0 0 0 -,.nsp.e.ctor WJ (Chip) Càn;es. Faxed request (rec'd Sat 11/29/03 @ 7:54 ä:rri:) #2069 H & R BLOCK s:~ tP-J¡.~",-- CJo~e.. ¡:> (.e - ('s:;;; ~r: