HomeMy WebLinkAbout0101707 POSHKOSH
ON THE WATER
.lob Address 824 SCOTT AVE
Contractor KOCH PLUMBING
Bathtub 1 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 LEE J TRITT
Category 410 - Residential-Interior
0 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 101707
Create Date 05/22/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Bathroom remodel.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 05/22/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
05/22/2003 00:i7
hlspeciJon Services Divi'slm~
p 0 Boz 1130
Osl~kosh, WI 54903-1130
Pho~m: ~920) 23~5050
l;ax~ (920) 236-~084
9202350282 KOCH PLUHBING INC PAGE Bi
O/HKO/H
()IS 114[ WAI~,R
Plumbin Permit Application
1 l~crcby apply for a pemm lo do and ii,stall the following plumbing on the prcmises hcreinaflcr described, tl~c work to conform to the
Wisconslo Stale Plumbing Code, in thc peril)finance ofwhici~ all panics hereto agree to and are bound by said statutes.
Owner ~c-~...,.,/._.,~=L/_~__ Contraclor ~f/~ ut~ ~ff-~/"~mM~'~/~ ..................
~$ingl¢ I:amily C~lDuplex I--]Multi-Family r-IRental F-]Commercial E~lndustria!
Number of Fixtu res:
I1athtub ~_L ILndry Smndp ~ Dcm, Opcr. Sh~n~ Sink
~irl~t . . Di~I ~ Dip Well FIr~g Sink
I.~vatot'y ...... / O~h~s~r ~ink Fin Caqch
Toilet ff $uO~ Pu~ .,, Wait. 8~, ~ Wash Fm
R6s, Sh~k Ej~mr~nd ~ I~e C~st U~nal
Bar Sin~ Wat~ ~fl~ Exam Sink __
Wate~ Heater ~ ~al W~tc ScuIw Sink S~ Di~
S~ 0o~ Wshr tlaM Siak Coff~
~d~ Troy B~ T~p 5~ Sink Site ~in
~l~c~ Sink ...... Su~ons Sink Ent ~sc Trap _. Smndp
S~mli~ B~ Sink
Electric Contractor OR
Use / Nature o[ Work
D ElY form attached (If Replacement)
Sa~lary Sewer
Water Sctyi¢c
Sic Material Type # Conn. Type
Application(s) and fee(s) can be brought lo City Hall, Room 205 or mailed to Inspection' Services, PO Box 1128, Oshkosh Wl
5~903-1128. Commencing work without pein,nil(s) will result in fees being doubled or $I00.00 plus the normal permit fee,
which ever is greater.
OR