Loading...
HomeMy WebLinkAbout0102595 POSHKOSH ON THE WATER ,Job Address 526 MERRITTAVE Contractor JNL PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JAMES A GRALL Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 CIothesWshr 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 1 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 102595 Create Date 07/02/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work A/Replace gas water heater. Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $300.00 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 07/02/2003 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 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number 232-7270 OSHKOSH ON THE WATER Job Address 526 MERRITT AVE Contractor JNL PLUMBING Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater I Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JAMES A GRALL Category 411 - Residential-Water Heaters 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Bidet 0 Exam Sink 0 Catch Basin 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 Dent. Oper. 0 Hand Sink 0 Udnal 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 102595 Create Date 07/02/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Grease Trap 0 0 0 0 0 Use/Nature ~,pt N Replace gas water heater. of Work Valuation $300.00 Issued By ~[~/~ Sanitary Sewer Storm Sewer Water Service Size Material Type Cf Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided Date 07/02/2003 In the performance of this~k, I agree to perform all work pursuant to rules governing the described construction. Signature~- ~ Date Agent/Owner Address 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number 232-7270 City of Oskkosh Inspection Services Division P O Box 1130 Oshkosh, Vii $4903-1130 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 following 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 [-~ Job Address Owner [--]Single Family [--]Duplex Value(Includinglaborandmaterials) ~) ~ Contractor ~ l/lJ L /0/~ ,,~ ~ ,,~ f [--]Multi-Family [~Renta~ [~Commercial Date ['"]Industrial Number of Fixtures: Bathtub Lndry Standp Whirlpool Disposal Lavator~ Dishwashec Toilet Sump Pump Res. Sink Ejector/Grind Bar Sink Water Sofiner S~o~Heater . ! Local Waste s E Elect [] PwrVnt Clothes Wshr r Bidet Floor Drain Beer Tap Lndry Tray Classrm Sink Lab Sink Surgeons Sink Plaster Sink Breakrm Sink Sterilizer Electric Contractor Use / Nature of Work Size Sanitary Sewer Storm Sewer Water Service Dent. Opec. Shamp Sink Dip Well FIr/Wst Sink Drink Fm Catch Basin Wait. St. Wash Fin Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Ice Maker Serv Sink Site Drain Iht Grease Trap Roof Drain Ext Grease Trap Standp Rec Material Type [--]Electric Installation Verificatidn form attached (If Replacement) # Conn. Type S/02