HomeMy WebLinkAbout0101758-Plumbing (deduct meter)OSHKOSH
ON THE WATER
,Job Address 1720 CONGRESS AVE
Contractor E C MERRILL INC
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 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 R KRAHENBUHL REV TRUST
Category 450 - Industrial-Other
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 Water Softner 0 Drink Ftn 0 Serv Sink 0
0 Local Waste 0 Wait. St. 0 Shamp Sink 0
0 ClothesWshr 0 Ice Chest 0 FIrNVst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 SculrySink 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 101758
Create Date 05/27/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
Install
deduct meter for irrigation
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
$650.00 Plan Approval
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$0.00 Permit Fees $20.00
Date 05/27/2003
In the perf4t~--~wo~(~gree to~erform
[] Permit Voided
all work pursuant to rules governing the described construction.
Agent/Owner
Date~ Z'~
OSHKOSH WI 54902 - 0000 Telephone Number 235~3600
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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 partied hereto agree to and are bound by said s~amtes.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-t 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
no~nnal permit fee, which ever is greater.
OR
l_f_y_ou are a co~ntr_.~act__o~r..p_a_~ in the Permit Fee Account_~v~te_m__a~nd bay_e ad~_c~_u~e funds c.~qfi~hegk ber_~e~
i_f_y_o_u want t_____~hi-s proce.s.s, ed th~r~..2our account l~J
Job Address ~ F---)~/-~tt~L/g7/Z~5~ Value (m¢ludin$laboranamatma,s)__&5"&~ >"~
[~]Single Family [~Duplex [~]Muiti-Famiiy [~Rental ~JCommereiai [~]Industrial
Number of Fixtures:
Bathtub Lndry Stan4p Dent. Open Shamp Sink
Whirlpool Disposal Dip Well Fir/Wst Sink
Lavatory Dishwasher Drink Fm ~ Catch Basin
Toilet Sump Pump Wait. St [ Wash Fm
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar 12~-ain
Water Heater Local Waste Sculry Sink Soda Disp
72 Gas '- E}ecI ~ PwrVnt Clothes Wshr Hand Sink l Coffee Maker
Shower Bidet F Prep Sin~ Ice Maker
Floor Drain Beer Tap Sero Sink ' Site Drain
Lndry Tray Classrm Sink Iht Grease ~rap Roof Drain
Lab Sink Surgeons Sink Ext Crrcase Trap ~ S~andp Rec
Plaster Sink Breakrm Sink
Sterilizer :
Electric Contractor
Use / Nature of
ISanitary Sewer
~ Storm Sewer
Water Service
[~Eiectric Installation Verificati6n form attached
(tf Replacemem)
Size Material Type #
Corm. Type
3/02