HomeMy WebLinkAbout0102347-Plumbing (toilet)OSHKOSH
ON THE WATER
,Job Address 210 N MAIN ST
Contractor M P KELLY
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 1 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 GILTEDGE OFFICE CONDOMINIUMS
Category 440- Industrial-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 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 102347
Create Date 06/19/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/SCHMITT TITLE/Replace toilet.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$420.00 Plan Approval $0.00 Permit Fees
Material Type #
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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
JUN 19 200.3
C OEPARTtklE
,O ,f UNm, NT OP
Plumbing erm r
O/HKO/H
I hereby apply for a permit to do and install the followi.ng 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 $100.00 plus the
normal permit fee, which ever i§ greater.
OR
If you are a contractor participating in the Permit Fee Account SFstem and have adequate funds, check herv
i£Fou want this processed through Four account n
Job Address
Owner ,_~,d.~4~ .7"-~ Contractor ~/~,. ~//,C/, /,,-v~., Date
rl$ingle Family J--JDnplex J--JMulti-Family
E]keuta ' ' k , ,mereiai
[--]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip WelI FlrAVst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet F Sump Pump Wait. St. Wash Ftu
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
E Gas g Elect 2 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 Iht Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink
Breaknn Sink
Sterilizer
Electric Contractor
'Use / Nature of Work
~ (If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
dR [~]Electric Instaihition Verificati6n form attached
# Conn. Type
3/02