Loading...
HomeMy WebLinkAbout0101911 POSHKOSH ON THE WATER ,Job Address 1930 OREGON ST Contractor JEFF'S WATER REPAIR 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 1 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JOHN W/SHEILA R BONESKE Category 411 - Residential-Water Heaters 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 ClothesWshr 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 101911 Create Date 06/03/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work Replace gas power vented water heater. Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size $700.00 Plan Approval $0.00 Permit Fees Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 06/03/2003 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 N2586 HWY76 HORTONVILLE WI 54944 - 0000 Telephone Number 920-757-9732 OSHKOSH ON THE WATER Job Address 1930 OREGON ST Contractor JEFF'S WATER REPAIR 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 I Sump Pump -- Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink __ CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner JOHN W/SHEILA R BONESKE Category 411 - Residential-Water Heaters 0 Ejector/Grind 0 Dip Well 0 F prep Sink __ 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Local Waste 0 Wait. St. 0 Shamp Sink __ 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __ 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 No 101911 Create Date 06/03/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int GreaseTrap 0 0 Ext GreaseTrap 0 0 0 0 0 Use/Nature of Work IFF{/ Replac~ gas power vented water heater. Sanitary Sewer Size Material Type # Conn. Type 0 0 0 0 0 Storm Sewer Water Service 0 0 0 0 0 Valuation $700.00 Plan Approval $0,00 Permit Fees $20,00 ByYW~ Date 06/03/2003 Issued [] Permit Voidedj In the pe[fo[mjance of this wo~ agr~,e/~p pe~o..~ all_w.o~ p~p~suant to r~.q~rning the described construction. Signature ~j~ /~/_~_~~~~ Date Address N258~-~Y 76~ HORTONVILLE WI 5~944 - 0000 Telephone Number e20-757-9732 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/HKO/H ON THE WATER 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,/n the performance of which all parties hereto al~'ee 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) wilt 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 if you want this processed through your account Job Address /?~f ~/~_~/~ .~alue-- (Inc,uding labor and rmteri,1,) 7f ? ?" Date_ Owner ~ingle Family [-]Duplex [-]Multi-Family [~l~nt~l ~]Commercial I Ilndustrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well FlrfWst Sink Lavatory Dishwasher Drink Ftn Catch Basin Toilet Sump Pump Wait. St. Wash Fm Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Wa er Heater ~ Local Waste Sculry Sink Soda Disp Bas [2 Elect t 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 Iht 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 ~'-IElectric Installation Verification form attached (If Replacement) Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 3/02