HomeMy WebLinkAbout2003-PlumbingOSHKOSH
ON THE WATER
.lob Address 814 WRIGHT ST
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEFFREY J/SUE A WICINSKY
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 1 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 1 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 101949
Create Date 04/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
18' x26' addition to the rear of the house to consist of 2 bedrooms.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$5,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$54.00
Date
06~04/2003
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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
OSHKOSH
ON THE WATER
Job Address 814 WRIGHT ST
Contractor SOPER PLUMBING
CITY OF OSHKOSH
Create Date
Plan
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEFFREY J/SUE A WICINSKY
Category 410 - Residential-Interior
No 101949
Bathtub 2 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 2 Lndry Stndp I Clothes Wshr 0 Ice Chest 0 Fir/Wet Sink
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
04~24~2003
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
IFR/ 18' x26' addition to the rear of the house to consist of 2 bedrooms.
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext Grease Trap
0
0
0
0
0
0
0
0
0
Use/Nature
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $5,000.00 Plan Approval $0.00 Permit Fees $54,00
Issued By ~1~
[] Permit Voided J
Date 06/04/2003
In the performanc~,~fthis work, I a~g~ee to perform all work pursuant to rules governing the described construction.
S ig nat urn. _ _ .._:~.v~_~j ~.~...---~-" ~ Date
~" ~ ~'"~'~'~""- Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 -0000 Telephone Number 426-2151
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
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
if you want this processed through your account ~
Job Address C~./.~r /~'./~,6t.7- D~'- Value (Including labor and materials)
Owner ~-?'_ ~;z7~_/Z~r~t~ -;/(o~ / Contractor _~'~-~ .
[-]Single Family [--]Duplex [~Multi-Family [-]Rental [--]Commercial
Date ~-~ -ar>
[-]Industrial
Number of Fixtures:
Lndry Standp j Dent. Oper. Shamp Sink
Bathtub
Whirlpool Disposal D/p Well Flr/Wst Sink -
Lavatory ~ Dishwasher Drink Ftn Catch Basin
Toilet ~ Sump Pump Wait. St. Wash Fha
Res. Sink ~ Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water13 Heater~,~ / Local Waste Sculry Sink Soda Disp
Gaaj,~lect D P~wVnt 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
Stehlizer
Electric Contractor OR [~Electric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02