HomeMy WebLinkAbout0102278-PlumbingCITY OF OSHKOSH
NSFR/Fixtures to include a gas water heater.
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES INC
OSHKOSH
ON THE WATER
Job Address 650 GROVE ST
Contractor P&S PLUMBING
No 102278
Category 410 - Residential-Interior
Bathtub 2 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 2 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 2 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FIr/~Nst Sink
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 1 Sump Pump I Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
Use/Nature
of Work
Create Date 04/09/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Iht Grease Trap 0
0 Ext Grease Trap 0
0
0
0
0
Valuation $5,200.00
Issued By ~
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Corm, Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0.00 Permit Fees $78,00
E~_~.ermit vo_i?~
Date 06/19/2003
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 SOX2153 APPLETON WI 54913 - 0000 Telephone Number
734-3912
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 SFstem and have adequate funds, check here
if you want this processed through your account [~
Job Address ~ ~ ff ~ r2 a ~- Value (Including labor and materials) ~'; ~_ t> ~. Date ~ //'~
Owner Contractor D ~c~ ~ 14~ c~)
[~Siagle Family ['-]Duplex [--]Multi-Family [-]Rental [-]Commercial [-]Industrial
Number of Fixtures:
Bathtub ~ Lndry Standp 1 Dent. Op~r. Shamp Sink
Whirlpool Disposal ~ Dip Well Flr/Wst Sink
Lavatory ~ Dishwasher [ Drink Ftn Catch Basin
Toilet 2 Sump Pump I Wait. St. Wash Fm
Res. Sink ~ Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater ~ ' Local Waste Sculry Sink Soda Disp
~ Gas [2 Elect ~ PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink lee Maker
Floor Drain ~ Beer Tap Serv 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
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
O-R ['-]Electric Installation Verificati6n form attached
(If Replacement)
Size
Material Type # Coma. Type
3/02