HomeMy WebLinkAbout0102442-PlumbingOSHKOSH
ON THE WATER
JobAddres$ 1717 JEFFERSON ST
Contractor JIM'S PLUMBING
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 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 RONALD L SCHIMKE
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 102442
Create Date 06/25/2003
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 #
$5,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
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/~5/2003 07:41 FAX 920 757 6452 JIM'S PLUMBING ~001/00!
City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 5490~-I130'
Phone: (920) 236-5050
Fax: (920) 2365084
O./HKO,/H
Plumbing Permit Application
I hereby apply, for. a p~mit to do. and ~. the following plumbing, on th~ premises, hcrdaaltcr dcscn'bed,
W~scons~n State Plumbing Cede, m fl~ performm~es of which all p,'~,~es h~reto agree to and are bound by said s~atotes.
Owner /~ ~c.~,'~ ~.~._ 'Contractor
~Single Family [~]Duplex E~Mnlfl-Family l--]Rental [-]Commercial ~]Indastrial
Number of Fixtures:
13a~htub ~ l~dty S~a~p Dent, Op~.
~ir]p~l ~ ~ W~ Flr~st Sink
~to~ ~ D~ Ddnk ~ ~h ~sin
Electric Contractor
Use / Nature of Work
[3 E1V form attached (If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
S~e Material Type # Com~.Typ¢
Application(s) and fee(s) can bc brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
5~.903-1128. Conuneneing work without permit(s) will result in fees being doublexl or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check here /.',f you wan~ ~his proceoz~d through your account- ~