HomeMy WebLinkAbout0102899-PlumbingCITY OF OSHKOSH
102899
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address2905 W 9TH AVEOwnerEXCELL HOMES & REALTY INCCreate Date07/07/2003
ContractorWATTERS PLUMBINGCategoryPlan
410 - Residential-Interior
Bathtub1Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool0Floor Drain1Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory10Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet10Clothes Wshr1Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink11Bidet0Exam Sink0Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink010Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
Water Heater110Urinal0
Sump PumpDent. Oper.0Hand Sink
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker1
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature NSFR
of Work
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service0
0
0
0
0
$0.00
Valuation$4,822.00Plan ApprovalPermit Fees$66.00
Issued ByDate07/17/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Signature
Agent/Owner
Address1303 MIDWAY RD, PO BOX 118MENASHAWI54952-1129Telephone Number800-801-8125,733-8125
From:
07/15/2>003 13:16 ,~f~60 P.O01
Plumbing 'Permit Application
. I hereby apply for a permit to ~o and install thc following plumbing on Ihs pr~nis~s h~cinafter described, the work to conform to the
Wisco~i~ S~a~ Plumbing Code, in the performance of whic~ all parties her~;o agree to and are. bound by said gamtes.
· Application(s) and fee(s) ca~ be brought to City H~I, Room 205 or mailed to hlsPeCfion Services, !~) Box 1128,
Oshkosh WI 54903-1128. Commm¢ing work withmlt permit(s) will rosult in fees being doubled or $100.00 plus the
normal pea,it fee, which ever is greater.
OR
~_£vou a.e a contro~toFpart£eipattn~ fn the Permit Fee ~c~oant System ant/hove adeauote £untt~. clteck
ff you wont tht~ ~roccssed through your, account ~ ' - -
JobAddress 2ct°~,v'J ct4~' ST. Value(~l.ai~ala~-and,a,~) 4'z~2-Z Date
' ~]Sin~RnRIe Family l']Duplex I-']Multi-Family . [~]R~ntal [-qCommereial [-]ludastria!
Number of FiXtUres:
. ~ l..n~PJ Stan[ip ll~ ~. . . Sh~ Si~k
~vmm~ [ ~mh~s~ J ~.k ~ Cash ~sin
{.
T~I~ ~ S~ ~ W~it. St
B{ Sink Wa~ ~ ~ S~
~ ~ ~ct ~ CIo~ W~ ' ~ Hand Sink
· S~w~ Bi~t P ~ Sink k~ M~
s~ IcE ~
Electric Con~cmr ~ ~Eleetric Ins~llation VeriflcaflSn form attach~
Use / Nature of Work
Co~. T~pe