HomeMy WebLinkAbout0104910-PlumbingOSHKOSH
ON THE WATER
,Job Address 501 DAKOTA ST
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RODNEY L/BECKY BUHROW
Category 410 - Residential-Interior
No 104910
Create Date 09/19/2003
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 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 SFR/FIRE DAMAGE/ Repipe dueto fire.
of Work
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 $900.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 10/22/2003
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 W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number
757-5258 OR 757-64(
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.
08:24 FAX 920 757 8482 JIM'S PLUMBING
City of Oshkosh
[nspectlon Se~viccs D/v/s/on
POBox 1130
Oshkosh, WI
P~ne: (920) 23~5050
Fax: (~20)
_O./HKO_/H
Plumbing Permit Application
hereby apply for a permil to do a~i ir~tali thc follow/nE plumb/ng on Lhe premises hercinaf~r described, the work to confoml to the
Wi~:onsin S~ate Plun~bing Code, in the performance of which all panics herelo a~'ce to ~ are bound by said
Application[s) and fee(s) can be brought to City Hall, Room 205 or mailed ~o Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commen~ing work wlrhout permll(s) will result in fees being doubled or $100.00 plus the
normal pcrmlt fee, which ever is ~reator.
OR
If y~u ar~ a .contractor ~artl~ivatin~ in r~e Permit F~ee .4ccounl $~.$tem and ha¥¢ a~,e, quate funds, check here
you w~tnt tills processed thrOu~ your ac¢,ount .~
Electric Contractor
J-[Electric Installation Vcrhqcafion form attached
Use / Nature of Work
Sanitary Sewer Size l~ri~ Type # Conn. TyI~ J
Swrm Sewer
Wat~ So.ice
09/02/2003 TUE 10:37 ITl/PI NO 83481 ~001