HomeMy WebLinkAbout2003-Plumbing (interior)OSHKOSH
OI~THE WATER
Job Address 2323 PLYMOUTH ST
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RICHARD MATSCHNIG
Category 410 - Residential-Interior
Bathtub I Shower I Ejector/Grind 0 DipWell
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St.
Toilet 2 LndryStndp 1 CIothesWshr 0 Ice Chest
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink
Bar Sink 0 Dishwasher 1 Beer Tap 0 ScuirySink
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink __
0 F Prep Sink
0 Serv Sink
0 Shamp Sink
0 FIr/Wst Sink
0 Catch Basin
0 Wash Ftn
0 Urinal
0 Standp Rec
0 Ice Maker
No 101745
Create Date 02/10~2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature NSFR/1 story home with a 2 car attached garage, NO DECK OR PATIO.
of Work
Valuation $4,500.00
Issued By ~
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $72.00
[] Permit Voided
Date 05/27~2003
In the performance of this work, t agree to perform all w~ork pursuant to rules governing the described construction.
Signature ~"~-~~ Date
Agent/Owner
Address 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number
232-7270
City of Oshkosh
Inspection Services Division
*P OBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE WATE~
Plumbing Permit Application
I hereby apply for a permit to 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 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. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor particiPating in the Permit Fee Account System and have adequate .funds, check here
(f you want this processed through your account ~
Job Addre~¢/i~0 c/~ Value (Including labor and materiats)~ ~'~)"~
Cngle Family [-]Duplex [-]Multi-Family [---]Rental [-]Commer'cial [--]Industrial
Date
Number of Fixtures:
Bathtub j__ Lndry Standp I Dent. Oper. Shamp Sink
Whirlpool ~ Disposal i Dip Well Flr/Wst Sink
Lavatory '~ Dishwasher i Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink ] Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater i Local Waste Sculry Sink Soda Disp
lg[.Gas [] Elect [] PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower ~ Bidet F Prep Sink Ice Maker
Floor Drain
Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
OR
[--]Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type # Conn. Type
3/02