HomeMy WebLinkAbout0104795-Plumbing (replace fixtures)OSHKOSH
ON THE WATER
.lob Address 123 MILL ST
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CCDV INC
Category 410 - Residential-Interior
No 104795
Create Date 10/15/2003
Plan
Bathtub 1 Shower 0 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 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIrNVst 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 1 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 Install tub, toilet, power vent water heater.* EIV from Slim's Electric
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
10/15/2003
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 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number
231-9880
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.
FROM :SRMMI]NS PLUMBING FAX NO. :9202318405 Oct. 15 2003 04:39PM PI
Electric Installation Yeflflcation
SLiM'S ELECTRIC INC.
2608 O.,akwood Circle Oshkosh
(A. ddr~s) (City)
WI 54904
(st~) ~ Code)
Sammon~s.
123 Mills St.
Th~ nam~ of the work caoaJMs of: (Cbe~ O~ ar Des~be the NMu~ of Work)
The v-tueonbi, wee, is $ . ,60.00
I hereby verify ~s woflt will be pedonnal by an en~loy~e of this c~q~ny sod ~ verify
FROM :SAMMONS PLUMBING FRX NO. : 9202318485 Oct. 15 2003 09:34AM P2
522 W. Murdock Avenue
Oshkosh. WI 54901 Sammons Plumbing
920 - 231 -9880
Fax: 920 - 231 -8485
Fax
To: Plumbing Inspector From: Mike Sammons
ATIN: Chip Pages: 1
Phone: Rate: 10/15/03
Re: Inspection CC:
CI Urgent 0 For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
Advocap
2929 Harrison
Job location 123 Mill Street
Installation of power vent water heater; tub and toilet
Back door open 10/15/03 and 10/16/03.
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