HomeMy WebLinkAbout0102352-PlumbingOSHKOSH
ON THE WATER
.lob Address 1325 KENSINGTON AVE
Contractor SAMMONS PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 1 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KRISTINE S VILLARS
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
1 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 102352
Create Date 06/17/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Remodel kitchen.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$850.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
06/20/2003
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 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number
231-9880
~- F~OT4 :SAMMONS PLUMBING FAX NO. :9202318485 Jun. L:~ 2083 88:51AM PI
SAMMONS PLUMBING OSHKOSH, INC.
.Lo~.~ ....... Oshkosh, WI 54901
/r~ sAMMoNs ~:~'~ 522 W. Murdock Avenue,.
920-231 9880
FAX: 920-231-8485
IF YOU DO NOT RECEIVE ALL PAGES, PLEASE CALL.
RE:
./
tll~anl~"ou!
Electric Installation Verification
(Electrical Contractor Name)
r m-
(Addresh) (City) (State)
have been con~act~ to perform electric ~stallation w~k for ~ ~ ~ ~ d 5
at the following address:
7'
(Zip Code)
(Name of party coutracted to)"-'
(Address where work will be peffo~ed)
The nature of thc work consists of.' (Check One or Describe the Nature of Work)
Rccomiection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnecfiou or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
mid lighting fixtm-es due to si~ng/soffit installation. Note: New Service
Entrance Cables will require a s~paratc permit.
Reconnection m' new cimuit for the replacen'tent of other permanently wired
appliances / fixtures.
' New circuit for the addition of A/C to an individual dwelling unit (house or the
individ~ml systems in a duplex of c~ndomtnium), including required service
electrical outlets.
Other
The value of this work is $' / ~ c~. e~o
I hereby verify tiffs work will be pm*fomied by an employee of this company and furl:her verily,
.the recotmection / installation will be (lone in compliance with manufacturer and Electric code
requirements.
omC y
(Pnnt Name Of'offi~gr)
(Date)
5/02
~d W~SES:80 £00E OE -un£ SSI~8I£EOEG: 'ON ×~4 BNI~fl]d SNOWNIOS: WO~3