HomeMy WebLinkAbout0101833-Plumbing (remodel)OSHKOSH
ON THE WATER
,Job Address 206 W PARKWAYAVE
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FEDERAL NATIONAL MTG ASSOC
Category 410 - Residential-Interior
Bathtub 2 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 2 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 2 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 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 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101833
Create Date 05/30/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX/Remodeling the 1st and 2nd floor bathrooms and installing a kitchen sink.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$2,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$42.00
Date
05/30/2003
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 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number
232-7270
OSHKOSH
ON THE WATER
Job Address 206 W PARKWAY AVE
Contractor JNL PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner FEDERAL NATIONAL MTG ASSOC
Category 410 - Residential-Interior
Bathtub 2 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 Serv Sink 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 2 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 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 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101833
Create Date 05/30/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature DUPLEX/Remodeling the 1st and 2nd floor bathrooms and installing a kitchen sink.
of Work
Valuation $2,000.00
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 $42.00
[] Permit Voided J
Date 05/30/2003
In the performance of this work, I agree to perform ail work 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 'O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON TFIE VCATER
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 I 128,
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 Address ~D
Owner
[-]Single Family
~_ t~tx~ / Value (Including labor and materials)
Contractor <~ ~,{... f/v~
[~uplex [--]Multi-Family [-]Rental [--]Commercial
Date
[-]Industrial
Number of Fixtures:
Bathtub ~ Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink .
Lavatory ~- Dishwasher Drink Ftn Catch Basin
Toilet ~- Sump Pump Wait. St. Wash Ftn
Res. Sink ] Ejector/Grind Ice Chest Urinal
Bar Sink Water Softuer Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
[] 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 Ink Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Ster/lizer
Electric Contractor OR [~]Electric Installation Verification form attached
(If Replacement)
Use/Nature of Work ~~~~ ~~f_~r')~/~ ~ //~~/
Sanitary Sewer Size Material Type ~ff Conn. Type
Storm Sewer
Water Service
3/02