HomeMy WebLinkAbout0102440-PlumbingOSHKOSH
ON THE WATER
,Job Address 3400 EICHSTADT RD
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION
Category 410 - Residential-Interior
Bathtub 1 Shower 2 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 3 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 102440
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 #
$7,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$102.00
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(
~ 06725/2003 14:48 FAX 920 757 6482
City of Oshkosh
Impcction Sen4ces Division
P O Box 1130
Oshkosi~ WI 54903-1130
Phone: (920) 23~-$050
Fax: (920) 236-5~84
JIM'S PLIftIBING
~001/002
O/HKO/H
ON THE WATE]~
Plumbing Permit Application
I hereby apply for a permit to do and install thc following plumbing on the premises herinafter desen'bed, the work to conform to ~he
Wisconsin State Plumbing Code, in the performance of which all parties he.to agree ~o und z~ bound by said stamtas.
Owner ~ C~'~ f__.v~J' 'Contractor -._~t /e}~ ~ b/f~ f-dc.
ingle [~Duplex [~lulti-Family ~-]Renial [~Commercial ]-llndustrial
Family
Number of Fixtures:
~tub [ L~do, S~p [ ~t. ~. S~ Sink
~irl~l Di~l ~ Dip W~I F[r~st Si~
~vato~ ~ Dish~h~ ~ ~nkFm ~h ~in
Toile[ ~,~ Su~ Pu~ [ , Waic SC W~h Fm
~es. S~k ~ ~j~t~ I~~ /
Bar Rink Wa~ So~ ~m S~k ... Gar
Walcr ~at~ ] ~1 Wa~ Scu~ Sink S~a Di~
H~F ~ain { Bidet F ~ Sink 1~ M~
Electric Contractor
Use / Nature of Work
D EIV form attached (IfR~placement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Co~. Type
Application(s) and rue(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
5a903-1128. Commencing work without permit(s) will result in £ees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
Ch~¢k here if you want this processed through your account