HomeMy WebLinkAbout0102441-PlumbingOSHKOSH
ON THE WATER
,Job Address 3408 EICHSTADT RD
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION
Category 410 - Residential-Interior
Bathtub 2 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 3 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 2 Lndry Stndp 1 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
No 102441
Create Date 06/19/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$8,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$90.00
Date 06/25/2003
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(
06/25/2003 14:48 FAX 920 757 6482 JIM'S PLIN~ING ~002/002
City of Oshkosh
Insp~tion 8~rvlces Division
P O Box 1130
Oshkosh, WI .$4903-1130
Phone: (920) 236~5050
Fax: (920) 236-5054
Plumbing Permit Application
I hereby apply for a perr~t to do and install the following plumbing on ~he pre.rises h~r~inat~er described, ~he work to conform to the
Wisconsin State Plumbing Code, in the perl'ormance of'which all panics hereto agxee to and axe bound by said s~atutes.
· lob Address 3 q~O ~ ~er..~/5~-,~.~' ~{~ Value (~s~o,~ ~.~> ~ ~0~
S~gle Fa~ly ~Duplex ~ul~F~ily ~Ren~ ~Commerc~l
Date ~/~'/~
[-]Iudustria!
Number of Fixtures:
Bathtub ~ L~dv/S~dp I D~at, O~r.
~1~ Dis~l ~ ~ Wctl
~v~m~ ~ Dishw~ / ~nk Nm
Toilel ~ SO~ PU~ ~ Wait SO
Shsr~ Sink
FIr~Vst Sink
Ca,ch Bosin
W~h Fm
U~nal
Gar Dra~*
Soda Disp
Coffee M~er
Ic~ Msk~r
Electric Contractor
OR [~ EIV form attached (IfR~placomont)
Use / Nature of Work.
Size Ma~erizl Type # Corm, Type
Sewer
Water Service
Application(s) and fee(s) can be brought to City Hall, Room 205 or mated to Inspeetion Services, PO Box 1128, Oshkosh WI
5~.903-1 t28. Commencing work without pvanit(s) will r~sult in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check ~ere if you wan~ ~is.processed t~hrou.qh your account ~