HomeMy WebLinkAbout0102344-Plumbing (kitchen sink)OSHKOSH
ON THE WATER
,Job Address 855 GREENFIELD TRL
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 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 ALAN F/MIREYA MAKURAT
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
0 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 102344
Create Date 06/19/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace kitchen sink.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,900.00 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 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-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbin
ECE V D
JUN 1 9 200,
OF .._
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 panties 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 System and have adequate funds, check here
if you want this processed through your account
Owner/,,/ m~//~t~h~7/' Contractor ./~./'~..t~'//~/.! /~.
'z /,'
~ngle Family DDuplex DMulti-Family DRental DCommereial
[-']Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Open
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Fm
Toilet Sump Pump Wait. St
Res. Sink K~ [ Ejector/Grind Ice Chest
Bar Sink Water Sofmer Exam Sink
Water Heater Local Waste Sculry Sink
E Gas E Elect 2 pwrVnt Clothes Wshr Hand Sink
Shower Bidet ..... F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink Int Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breaknn Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
lee Maker
Site Drain
Roof Drain
Standp Rec
Electric Contractor
(If Replacement)
Use / Nature of Work
; ;' ' - ' Size Material Tg[~e # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
O~R [-]Electric Installation Verificati6n form attached
3/02