HomeMy WebLinkAbout0101951-Plumbing (remodel)OSHKOSH
ON THE WATER
Job Address 803 MICHIGAN ST
Contractor SOPER PLUMBING
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet I Lndry Stndp
Res. Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump __
Site Drain 0 Classrm Sink __
Roof Drain 0 Rreakrm Sink __
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KELLY J BURNETT
Category 410- Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink __
0 Water Soffner 0 Drink Ftn 0 ServSink
0 Local Waste 0 Wait. St. 0 ShampSink --
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 Fin
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 101951
Create Date 06/04/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0
0
0
0
of USe/Naturework IENTAL/Remodel.
Sanitary Sewer
Size Material Type #
Corm. Type
0
0
0
0
0
Storm Sewer
0
0
0
0
0
Water Service
0
0
0
0
0
Valuation $1,500.00
Issued By
Plan Approval $0.00 Permit Fees $24.00
[] Permit Voided
Date 06/04/2003
In the performance of this work, I agree .ICJ perform ali work pursuant to rules governing the described construction.
y ..... (..,) ~ Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151
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
Plumbing Permit Application
I hereby apply for a permit to do and Lnstall 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.
I£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 ~ ff .44~/%e~t~'.~.~' Value (Including labor and materials) ~..~'~9~. ~
[~]Single Family nDuplex [~Multi-Family [-1Rental r-]Commercial
Date ~' 2~'-~.-~
[~]Industrial
Number of Fixtures:
Bathtub ff Lndry Staodp Dent. Oper.
Whirlpool Disposal Dip Well
/ Dishwasher Drink Ftu
Lavatory
Toilet ~ Sump Pump Wait. St.
Res. Sink [ Ejectur/Crrind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater Local Waste Sculry Sink
[3 Gas [l Elect [3 PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Size
Sanitary Sewer
Storm Sewer
Water Service
Shamp Sink
Flr/Wst Sink ·
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
OR
[-]Electric Installation Verification form attached
(If Replacement)
Material
Type
# Conn. Type
3/02