HomeMy WebLinkAbout0102583-PlumbingOSHKOSH
ON THE WATER
,Job Address 670 GROVE ST
Contractor P&S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES
Category 410 - Residential-Interior
Bathtub 2 Shower
Whirlpool 0 Floor Drain
Lavatory 2 Lndry Tray
Toilet 2 Lndry Stndp
Res. Sink I Disposal
Bar Sink 0 Dishwasher
Water Heater I Sump Pump
Site Drain 0 Classrm Sink, __
Roof Drain 0 Breakrm Sink
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
1 Water Softner 0 Drink Ftn 0 Serv Sink 0
0 Local Waste 0 Wait. St. 0 Shamp Sink 0
1 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
1 Bidet 0 Exam Sink 0 Catch Basin 0
I Beer Tap 0 SculrySink 0 Wash Ftn 0
1 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 102583
Create Date 04/09/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap ....... _0.
Use/Nature NSFR/includes a gas water heater
of Work
Valuation
Issued Byy5'200'00
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval $0,00 Permit Fees $75.00
[] ~E~it Void~d~
Date 07/02/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~ ..~¢,-~~. Date
734-3912
Agent/Owner
Address PO BOX 2153 APPLETON WI 54913 - 0000 Telephone Number
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh. WI 54903-1130
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 followin, g 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 Account System and have adequate funds, check here
if you want this processed through your account [~
JobAddress Co~c., 6--0_0//0- Value (lncluding labor and matcrials) ~--~ 2_~ ~ Date '7 ]2/c3
Owner b t.- ~,u-rl-- 14~ % Contractor ~ ~g,-~ ¥ 14~r~ c~_~
[~ingle Family [-]Duplex [--]Multi-Family [-]Rental [~Commercial [--]Industrial
Number of Fixtures:
Bathtub 2 Lndry Standp I Dent. Oper. Shamp Sink
Whirlpool Disposal I ' Dip Well Flr/Wst Sink
Lavatory 2- Dishwasher I Drink Fm Catch Basin
Toilet ~-- Sump Pump ~ Wait. St. Wash Fm
Res. Sink 1 Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Heater ~ Local Waste Sculry Sink Soda Disp
~ Gas [] Elect E pwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker ·
Floor Drain ~'
Beer Tap Serv Sink Site Drain
Lndry Troy Classrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Est Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
[-]Electric Instalhition Verificatidn form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type # Conn. Type
3/02