HomeMy WebLinkAbout0104460-PlumbingOSHKOSH
ON THE WATER
Job Address 1541 HAZEL ST
Contractor A-1 MARKESAN PLUMBING LLC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TODD A/GINA L SCHMiTZ
Category 410- Residential-Interior
No 104460
Create Date 09/23/2003
Plan
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet I LndryStndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 WashFtn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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 0
Use/Nature
of Work
~FPJ
Constructing a full bathroom in the basement.
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. '~pe
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $2,400.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided J
Issued By ~-~1¢~,
Date 09/30/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement ho, er($) . secu any a va,e before etarf,,g each ectiv, ty.
Signature "~ ~////..z,..~**~/~,~,~.~ ~.~ ~. Date
Address 410 S BRIDGE ST MARKESAN WI 53946 - 0000 Telephone Number
920-398.-3833
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 ?therwise, 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.
City of Oshkosh
Inspection Setwices Division
POBox 1130
Oshkosh, WI 54903-I 130
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 1128,
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
lf ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [~
Job Address / ~'/ /7/,~ 7(/ Value (Including labor and materials)
Owner ~a~/ -~'~ , //2 5 Contractor
[~_~Single Family [--]Duplex [~]Multi-Family r-]Rental nCommereial ~]Industrial
Number of Fixtures:
Bathtub Lndry Staodp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory ~, k Dishwasher Drink Fm Catch Basin
Toilet ~' ~ Sump Pump Wait. St. Wash Ft~
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water So ftner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
[] Gas [3 Elect 12 Pwr. ~n~ Clothes Wshr Hand Sink Coffee Maker
Shower ~ Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Serv Sink Site Drain
Ladry Tray Classrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rcc
Plaster Sink Breakrm Sink R.P.Z. Valve Eye Wash Sm
Electric Contractor
Use / Nature of Work
OR
~-]Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type # Corm. Type
7/03