HomeMy WebLinkAbout2003-Plumbing (water meter)OSHKOSH
ON THE WATER
,Job Address 1335 SUMMIT AVE
Contractor JIM'S PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LTD PTSHP CENTURY INV FUND XV
Category 410 - Residential-Interior
No 104434
Create Date 09/29/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature MULTI-FAMILY/Install deduct water meter.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $650.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 09/29/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
09/~6/2003 16:12 FAX 920 757 6482 JIM'S PLUMBING ~002/002
'-,itt of Oshkosh
[nspeetioa $erv{ccs Division
POBox H30
~s~os~ WI 54903-1130
?~e~e: (920) 23&5050
Fax: (920)
Plumbing Permit Application
I hereby apply for a pC'hint to ~io a~d install the following plumbing on th~ pr=raises h~eirmiler dea~rib~d, the work to conform to tl~
WisoonSia Stat~ Plumbing Code, in Ihe peffom'~nc¢ of which all par~i~ Ilereto agree to trod are bound by said statute.
· ,application(s) and fee(s) can bc brought to City Hall, Room 205 or mailed to h~pection Services, PO Box l 128,
Osi~osh IRt[ 54903-1128. Comraen~ing.work without p,;r;,iit(s) will rcsttl! in fees beitlg doubled or $100.00 plus thc
normal ptamit fee, which ever is greater.
~f ~o,u want this pro¢¢s.~ed through your account ~
[~Single Family [~]Duplex ~1,, Iti-Famtly {'-lRenta! ~
~I~dustrial
Namber of Fixtures:
Electric Contractor
_OR ]-']lllectric Installation Verification form attached
Use / Natnre of Work
,!~aRary Sewe~ Size Material Ty~¢ ii Com~. TyI~ t
Storm Sewer
Water Servi~e
09/o2/2ooa TUE 10:$? [Tx/Rx NO ~$461 [~001