HomeMy WebLinkAbout0102343-Plumbing (repipe)OSHKOSH
ON THE WATER
,Job Address 612 W 7TH AVE
Contractor JIM'S PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HENRY L/TERRI M WEST
Category 410 - Residential-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 102343
Create Date 06/20/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Repipe drain lines throughout the house.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,800.00 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 W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
06/19/2003 07:32 FAX
City of Oshkosh
Inspection Services Division
P 0 BOx 1130
Oshkosh, WI 549~3-1130
Phone: (920) 236-~050
Fax: (920) 236-5084
~O01/OOl
O/H O/
WATER
Plumbin Permit A lication
I hereby apply for a pcrmk to do and install the following plumbing on the premises hereinafter described, th~ work to conform to thc
Wiscomin S~a~ Plumbing Code, in the pe~forrnance of-which all parties hereto agree to and are bound by sa~d statutes
Owner ~ Cy t~ ~ {" ' Contractor
[~Single Family ~'~Duplex [~Vlnlti-F*mily [~Rental ]'"tCommercial ]-'Jlndustrial
Bathtub Ladry S~a~p I~nt Oper. $hamp Sink
- FIr/Wst Sink
Electric Contractor
U EIV form attached (If Roplacement)
Use / Nature of Work
Material Type # Conn. Type
SanitaD' Sewer
Water Servlc¢
· Application(s) and fee(s) can be brought to City Hall, Room 20S or nmiled to Inspection Survices, PO Box 1128, Oshkosh WI
54903-1128. Commancingw°rk wllh°ut permit(s) will result in fees being d°ubled °r $100'00 plus the n°rmal penui1 fe~'
which ever is greater.
_Check here if you wane this.proceosed ~rouffh your accoun~