HomeMy WebLinkAbout0105083-Plumbing (Misc repairs)OSHKOSH
ON THE WATER
.lob Address 546ALGOMA BLVD
Contractor KOCH PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SHNYDER HOLDINGS LLC
Category 410 - Residential-Interior
No 105083
Create Date 10/31/2003
Plan
Bathtub 0 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 MULTI-FAMILY/Rooming House/Repair work plus replace toilet & lavatory.
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 $500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 10/31/2003
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.
o~ Oshkosh
Jllspeclion $crviCCS Division
Box 1130
Phone: (920) 236-5050
Vax: (920) 236-fi084
Plumbin : Permit Applicatibn
I hereby apply for a pcm~it Io do and inslall ibc following plumbing on lt~e premises hereinafter descrl~, thc work [o conform Io thc
WisconSin St~ c 1 lu ~bmg Code, in thc pcrfom~ncc of which all panics hereto a~ee Io and arc bound by said sta[ulcs,
co=tr ctor' ......
[~$in~1¢ Family r-~l)upl~ r-~Multi-f~raily r~P.¢.lal r]Comr~s=r¢i~l , -r-~l~d-strial
Number of Fixtures:
L.avatory -~---- Dishwasher ~ {)fink Fin ~- Caleb ~asJn
Bar Sin~ Wa{~ ~r Ex~ Sink .... S~ Disp
Electric Contractor
Use / Nature of Work
ElY form attached (If Replacement)
Sanilary Sewer
SL~e Material '~ype # Conn. TyI~
Stent1, S~wcr
' pO Box 1128, Oshkosh WI
Application(s) a~d fee(s) can bc hroaght to City Flail, Room '~05 or maded to InspectiOn Sei~nces,
$4903-1128. Comme~ci~§ work without permit(s) will result in fees being doubled o~ $100.00 plus the normal permit fee,
which ever is ~e~tcr,
OR Check here if you wan~ ,F~is proce=~.ed =h~gu~h yo~_r account ~