HomeMy WebLinkAbout0102633 POSHKOSH
ON THE WATER
,Job Address 1286 W 18TH AVE
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SANDRAA CONGER
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 1 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 1 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 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
No 102633
Create Date 05/30/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Finishing area in basement for a bathroom (set fixtures on existing rough-in).
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$3,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
07/03/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
JUL 0 5 2005
DEPARTMENT OF
Plumbing
O,/'HKO,/H
I hbreby apply for a permit to do and install the following plumbing on the prerrdses 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 Heater.
OR
If you are a contractor participating in the Permit Fee .4ccount System and have adequate funds, check herr
if Fou want this processed through Four account [~
Job Address /,~2.~ ~///~Value(ine,udmlaborand,~terialsL~;~ 5~
Owner
~gle Family ~Duplex bM~ti-~amily ~ental' ~dmmereia,
Date~-~
[--]Industrial
Number of Fixtures: '
Bathtub Lndry Shandp Dent. Ope,'. Shamp Sink
Whirlpool ~ Disposal Dip Well FIrAVst Sink
Lavatory
Dishwasher
i' Drink Fm Catch Basin
Toilet / Sump Pump Wait. St. , Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar Drain
Water Beater Local Waste Sculry Sink Soda Disp
[] Gas E Elect ~ PwrVnt
Clothes Wshr Hand Sink Coffee Maker
Shower
Bidet F Prep Sink Ice Maker .
Floor Drain ....
Beer Tap Serv Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink
Breakrm Sink
Sterilizer
Electric Contractor O'R [-]Electric Install~ition Verificati6n form attached
' ~ (If Replacement) ~ # ·
'Use ' Nature °f W°rk X~'~t/~ ~ k~/~(1' ~JZ~,
Size Material T~e g Co~. T~e ~
S~m~ Sewer ~
Store Sewer . ~ q
Water Se~iee
3/02