HomeMy WebLinkAbout0101514-Plumbing (deduct water meter)OSHKOSH
ON THE WATER
,Job Address 708 NICOLETAVE
Contractor KOCH PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 1
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BOBBY FREID
Category 410 - Residential-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101514
Create Date 05/15/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Install deduct water meter and hose faucets.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$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 05/15/2003
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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
05/~3/2003 10:30
City of Oshkosh
Inspection Scrvicex Divi,sion
P O Box 1130
Oshkosll, WI $4903-1
Phone: (920) Z36-~0~0
9202350282 KOCH PLUMBING INC PAGE BI
O/HKO/H
ON T~[ W^rER
Plumbin Permit A :'lication
I hcrchy apply for a permit to do and i,utall thc f;~llowin.,..: plumbh~g on the premises hereinafter described, Lhe work to conform lo thc
Wisconsin .~tale Plumbing Code, iii the pcrforllun¢¢ of which all psi'lies hereto agree to and are bound by said statutes.
[--]Single Family E]Ouplex [--}Multi-Family [~Rental [~Commercial
Date
{-']Industrial
Number of Fixtures:
l:lath{ub .......
Whirlpool
Lavatory ...................
Toilet
lbs.'Sink
Bar Sink
Water lie~ler
Floor Drain
l.ndry Tmy
Lab Sink
Plaster $ink
S~erili~-r
Lndry Standp .... l)c:~t, Opcr. Shamp Sink'
Dic, posid Dip Well ~-- FlrfiVsl' Sink
Dishwasher .......... Drink Ftn ,. Catch Basin
Sump Pump Wail. St. W~h Fm
Ejectot/Orind .... Igc Chest Urinal
Water Sollner ........... Exam Sink Oar Drain
Local Waste Sculry Sink ~ Soda Oisp
Clol~s Wale' ~ lbnCl Sink Coffee Maker
Bide~ .. F heF Sink Ice Maker
Beet Tap S~rv Sink Site Drain
Cla~rm Sil~k Int Grease Trap Roof Drain
Surgeons Sink Ext On:ese Trap
B teal~a,*m Sink
Electric Contractor .OR D ElY form attached (IfRcpla¢cment)
~, / s~t~r~ of Work/4/$'~'a:. ~'~ ./-C?. _~/~_4/"~ ~~ ///~'~'~-'/a~,~~.~
Sanitary Sewer
Storm Sewer
Water Service
Snze Material Type # Corm, Type
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Wl
54903.1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee,
which ever is grcatcr, OR