HomeMy WebLinkAbout0101948-PlumbingOSHKOSH
ON THE WATER
,lob Address 2104 HICKORY LN
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FREDERICK L PLONKA ETAL
Category 410 - Residential-interior
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet I LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 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 101948
Create Date 04/03/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Iht Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
IFF{/ Bathroom addition.
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
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $20.00
Issued By ~,~1~
[] Permit Voided
Date 06/04/2003
Sig nat u re~________~ ~,,,~.~ ~--.~.~ ~.~..~.. 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 54903-1 t30
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
ON THE WATER
Plumbing Permit Application
I hereby apply for a perm/t 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 1 t28,
Oshkosh WI 54903-1128. Commancing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which even' 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 ~/'0~[ {.]tek-'~,,~?'/-~ Value (lncluding labor and materials)
Owner Contractor
~[Single Family [--]Duplex [--]Multi-Family ~]Rental [--]Commercial
Date
I--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Open
Whirlpool Disposal Dip Well
Lavatory / Dishwasher Drink Ftn
Toilet tg Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softn~ Exam Sink
Water Heater Local Waste Scul~ Sink
[3 Gas [] Elect D PwrVnt Clothes Wshr Hand Sink
Shower ~r 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
Sanitary Sewer
Storm Sewer
Water Service
Shamp Sink
Flr/Wst Sink
Catch Basin
W~sh Fha
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
OR
Size Material Type
[~]Electric Installation Verification form attached
(If Replacement)
# Conn. Type
3/02