HomeMy WebLinkAbout0102418 POSHKOSH
ON THE WATER
.lob Address 1638 1640 NEBRASKA ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor LEHR HEATING AND PLUMBING INC
Owner RONALD R HOPPE
Category 410 - Residential-Interior
Bathtub 4 Shower 0
Whirlpool 0 Floor Drain 2
Lavatory 4 Lndry Tray 0
Toilet 4 Lndry Stndp 2
Res. Sink 2 Disposal 0
Bar Sink 0 Dishwasher 2
Water Heater 2 Sump Pump 1
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
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 102418
Create Date 06/24/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature DUPLEX
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$8,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$138.00
Date
06/24/2003
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 PO BOX36 Wautoma WI 54982 - 0000 Telephone Number
920-787-3426
OSHKOSH
CITY OF OSHKOSH
PLUMBING PERMIT-APPLICATION AND RECORD
ON THE WATER
Job Address 1638 1640 NEBRASKA ST
Owner RONALD R HOPPE
Contractor LEHR HEATING AND PLUMBING INC Category
Bathtub 4 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 2 Water Softner 0
Lavatory 4 Lndry Tray 0 Local Waste 0
Toilet 4 LndryStndp 2 Clothes Wshr 0
Res. Sink 2 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 2 Beer Tap 0
Water Heater 2 Sump Pump 1 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
410 - Residential-Interior
DipWell 0 F Prep Sink __
Drink Ftn 0 Serv Sink
Wait. St. 0 Shamp Sink __
Ice Chest 0 FIr/Wst Sink
Exam Sink 0 Catch Basin
SculrySink 0 Wash Ftn
Hand Sink 0 Urinal
Plaster Sink 0 Standp Rec __
Surgeons Sink 0 Ice Maker
No 102418
Create Date 06/24/2003
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap .--
0 Ext Grease Trap --
0
0
0
0
0
0
0
0
0
of USe/Naturework INEW DUPLEX
Sanitary Sewer
Size
Material Type #
Conn. Type
0
0
0
0
0
Storm Sewer
Water Service
0
0
0
0
0
Valuation $8,500.00
Issued By ¢~,/[
Plan Approval $0.00 Permit Fees $138.00
[] Permit Voided J
Date 06/24/2003
in the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ¢~/~¢_~ Date
Agent~Owner
Address PO BOX 36 Wautoma WI 54982 - 0000 Telephone Number
920-787-3426
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
Plumbing Permit Application
I hereby apply for a permit to do and install the following 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 1 I28,
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 is greater.
OR
I£¥ou are a contractor participating in the Permit Fee Account System and have adequate £unds, check here
if you want this processed through your account ['~
JobAddress {t//;~, ~5~.~&'c~o~ Value (Including labor and matefials) gSZY3 Date
Owner Contractor 3 ~rLg3gi'g-Ea/g) b f'~) ~
[-]Single Family [~Dnplex "-- --[--]Multi-Famdy [~Rentai ['-]Commercial [--]Industrial
Number of Fixtures:
Bathtub ('] Lndry Standp '~ Dent. Oper. Shamp Sink
Whirlpool Disposal ~' Dip Well Flr/Wst Sink
Lavatory ~/ Dishwasher ~ Drink Ftn Catch Basin
Toilet ~ Sump Pump I Wait. St. Wash Fm
Res. Sink ~ Ejector/Grind '- Ice Chest ' Urinal
Bar Sink Water Sofmer ~ Exam Sink Gar Drain
Water Heater ~.. Local Waste Sculry Sink Soda Disp
~ Gas [] Elect ~ PwrVnt Clothes Wshr ~ Hand Sink ' Coffee Maker
Shower ' Bidet ~ F Prep Si~k Ice Maker
Floor Drain ~'
Beer Tap ~ Serv Sink Site Drain
Lndry Tray -
Classrm Sink ~ lnt Grease Trap ~ Roof Drain
Lab Sink Surgeons Sink ~ Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink --
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
O~ ['-]Electric Installation Verificatidn form attached
(If Replacement)
Size
Material Type # Coma. Type
3/02