HomeMy WebLinkAbout0101986-PlumbingOSHKOSH
ON THE WATER
.lob Address 2080 DICKINSON AVE
Contractor PLUFF PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner 2090 DICKINSON AVE LLC
Category 410 - Residential-Interior
Bathtub 6 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 8 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 12 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 12 Lndry Stndp 6 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 8 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 8 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 8 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 101986
Create Date 06/04/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
NEW 6 UNIT APT BLDG
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$21,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$366.00
Date
06/05/2003
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 PO BOX264 DALE WI 54931 - 0264 Telephone Number
779-4884
City of Oskkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
JUN 0 5 2005
DEPARTMENT OF
COMMuNITy DEVELOPMENT
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) end fee(s) can be brought to City Halt, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903~I 128. Commencing work without permit(s) wilt result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor particivating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through Four account ~
JobAddress ~o~tr)~O ~_~:24,u3.t~,~,Valne(includinglaborandmatemls)~_0~/$VOr~._p~_ Date ~/~-7/o~
Owner ~r2,~o.~ ~e,~'P/~ Contractor .--~ F]~t-~- ~'~]v~/~?~c~ ~',~r,/, '~
[-]Single Family [--]Duplex ~Vlulti-Family [~]Rental [-]Commercial {/[-]Industrial
Number of Fixtures:
Bathtub ~ Lndry Standp ~ Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink -
Lavatory .]~.,~ Dishwasher __~ Drink Ftn Cateh Basin
Toilet I ~. Sump Pump Wait. St. Wash Fm
Res. Sink ~ Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater ~ Local Waste Sculry Sink Soda Disp
D Gas~Elect D PwrVnt/ Clothes Wshr Hand Sink Coffee Maker
Shower
~- Bidet F Prep Sink lce Maker
Floor Drain .... ~'~ Beer Tap Se~-¢ Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Piaster Sink
Breakrm Sink
Electric Contractor
Use / Nature of Work
~-]Electric Installation Verification form attached
(If Replacement)
OR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02