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Home My WebLink About0102275-Plumbing (remodel)OSHKOSH ON THE WATER Job Address 413 UNION AVE Contractor ADAMS PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JUNGWIRTH pROPERTIES LLC Category 410 - Residential-Interior Bathtub 0 Shower 0 Floor Drain Whirlpool Lavatory I Lndry Tray Toilet I Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater _0 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink Ejector/Grind 0 DipWell 0 F Prep Sink Water Softner 0 Drink Ftn 0 Serv Sink LocaIWaste 0 Wait. St. 0 Shamp Sink CIothesWshr 0 Ice Chest 0 FIr/Wst Sink Bidet 0 Exam Sink 0 Catch Basin Beer Tap 0 SculrySink 0 Wash Ftn Dent. Oper, 0 Hand Sink _ 0 Urinal Lab Sink 0 Plaster Sink 0 Standp Rec Sterilizer 0 Surgeons Sink 0 Ice Maker No 102275 Create Date 06/18/2003 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 Use/Nature i~ntal / remodel of Work 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 Permit Fees $20.00 Date 06/18/2003 In the performa~e of this work, I a~ree to perform all work pursuant to rules governing the described construction. Signature {~j~. ~/~IU~.,~.,,~..~ Date L - ~ Agent~Owner Address 1570 N OAKWOOD OSHKOSH WI 54904 - 0000 Telephone Number 233-2661 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 penuit 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 lf ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here i£vou want this processed through ~2our account ['~ Job Address ]-~ /~ j 3 ~&tC3v,~. Value (1.cludi.g labor a~d ~.ated~ls)-~'-~)' ~/(--~ Dat~ ' '/~:~' (~)--~ Owner [-~Single Family [-~Duplex' [-]Multi-Family ~ental [--ICommercial [-]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Opec. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory / Dishwasher Drink Fin Catch Basin Toilet ~ Sump pump Wait. St. Wash Fm Res. Sink Ejector/Grind lee Chest Urinal Bar Sink Water Sofmer Exam Sink Gar Drain Water Heater Local Waste Sculry Sink Soda Disp [] Gas [] Elect E pwrVnt 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 Int Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink Sterilizer Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Water Service ~]Electric Instalhition Verificati6n form attached (If Replacement) Size Material Type # Conn. Type 3/02