HomeMy WebLinkAbout0105118-PlumbingOSHKOSH
ON THE WATER
,Job Address 829 VINE AVE
Contractor JIM'S PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PINE APARTMENTS I LLC
Category 410 - Residential-Interior
No 105118
Create Date 11/04/2003
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/Remodeling the 2nd floor bathroom.
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 $1,350.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 11/04/2003
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.
11/,04/2003 09:32 FAX 920 757 6482 Jill'S PLUMBING ~001/002
City of Osltko~h
In.spec/ion Serviccs Division
P O Box 1130
~k~h, ~ i4~3-1130
Phone; (920) 23~5050
Fax: (920) 236-50~
Plumbing Permit Application
hereby apply for a permit to do and Jnsmil the following plm, nbing on the prermses beteil~Rot described, the work to con.form to &e
Wiscoll.sia Stat~ Plumbing Code, in the performance of which all parties hereto agree to and arc bound by said ~tatutes.
Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailext :o Inspection Services, PO Box I 128,
Oshkosh WI 54903,1128. Commencing work without pen'nit(s) will result in feeg being doubled or $100.00 plus the
no~c,~i permit fee, which ~ver is greater.
OR
~ mit e~ccounr S em a d have a
ou wa thi toae$$ed throu h r ac ou cie uate und c~zeck here
~'~Single Family [-~Duplex i-3Multi-Fanuly ~Rental I-~Commercial l~ludustrial
Electric Contractor
Use / Nature of Work~
8iz¢
Sanitary Sewer
Storm Sewer
~Vatgr S~e
OR
[~]Electric Installation Verification form attached
(h' R~lacemem)
7/03