HomeMy WebLinkAbout0104518-PlumbingOSHKOSH
ON THE WATER
.lob Address 830 PARK RIDGE AVE
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KELLY J SCHWEINER
Category 410 - Residential-Interior
No 104518
Create Date 10/01/2003
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 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 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
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 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
Add 3/4 bath in basement.
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 $3,100.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 10/02/2003
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 2005 DOTY ST OSHKOSH WI 54901 - 0000 Telephone Number
BUTCH (C)379-8753
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.
City of Oshkosh
Inspection Serrices Division
POOox 1130
Oshkosh, WI $4903- l 130
Phone: (920) 236-5050
Fax: (920) 236-5084
O,/HKQ/H
Plumbing Permit Application
I hereby apply for a pmTmt to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wi~onsin State Plumbing Code, in the performacc¢ of which all parties hereto agree to and are bound by said Statutes.
s Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S~mees, PO Box I 1
Oshkosh WI 54903-1125. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fr~, which ever is greater.
OR
If you are a contractor t~articipatin~ in the Permit Fee/tccount Systera and t~ave adequate [unds, check here
ff vou want thig processed throu~rl~ pour account ~
Date
[~ndostrial
Number of Fixtures:
I~thtub ]L~dry StaMp Dent, ~,
~va~r y ~ Dbh~ ~.k Pm
~s. S~k ~j~/Gfind lee Ch~t
PIg~ Sil ~ Sink R.P.Z. Valve
St~llz~
Electric Contractor
Use / Nature of Work
samtary Sewer
OR [-~Eleetric Installation Verification form attached
(~r R~plac, em~t)
Size Material Type # Corm. Type
ONI 9NIa~Nqd Hi30~