HomeMy WebLinkAbout0102534 POSHKOSH
ON THE WATER
,Job Address 172 W 25TH AVE
Contractor DRUCKS PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ELIZA M URNES
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 102534
Create Date 06/30/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$630.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
06/30/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX355 MENASHA WI 54952 - 0000 Telephone Number
426-2654
City of Oshkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1 I30
Phone: (920) 236-5050
Fax; (920) 236-5084
RECEIVED
JUN 2 7 2005
DEPARTMENT OF
O :$VIUNtTY D ELOPMENT
Plumbing Permit Applicauon
O/HKO/H
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Accouht Svstera and have adequate funds, check here
if you want this processed throu~'h your account
Job Address 172 W. 25th Ave
Owner E. times
[~Single Family [~]Duplex
Value (including abor and materials) 630.
Contractor Druck$
[--]Multi-Family [--]Rental [--]Commercial
Date 6-25-03
[--]Industrial
Number of Fixtures:
Bathtub Lndry Standp
'9,rnirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater 1 Lecal Waste
~ Gas Z Elect 2 pwrVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Dent, Oper. Shamp Sink
Dip Well Flr/Wst Sink
Drink Fm Catch Basin
Wait. St. Wash Fm
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Seda Disp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
O-R [-]Electric Installation Verificatidn form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
T~e # Coun. T~e
3/02