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HomeMy WebLinkAbout0103643-Plumbing (bathroom)CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JAMES W BEATTIE OSHKOSH ON THE WATER Job Address 1805 SHERIDAN ST Contractor SOPER PLUMBING Create Date Plan No 103643 Category 410- Residential-Interior Bathtub I Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink Lavatory I LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink Toilet 1 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __ Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker Use/Nature ~FPJ Replace fixtures. of Work l 08/21/2003 0 Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 RPZ Valve 0 Eye Wash Statn 0 0 0 0 0 0 0 0 0 Sanitary Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 Valuation $2.200.00 Plan Approval $0.00 Permit Fees $20.00 [] PermitVoidedj Issued By ~¥1g Date 08/21/2003 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 .hol~er(s) anj:L, to secure any necessm7 approvals before starting such activity. Sig nat u re~¢/~~ ~.~..~' Date ~ ..... ~'/~'"-~ Agent/Owner Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 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 lf ¥ou are a contractor participatiny: in the Permit Fee Account System and have adequate £unds~ check here i£¥ou want this processed through Four account [~ Job Address ~,4:~.~'-_,~'..o'~t~,~a~a~ Value (Including labor and materials~ Owner ~ .~J~.r'~'~'¢-' Contractor .~'~'~a~.. ~t~,~_~- [~Single FamilY [-']Duplex [~Multi-Family ]--]Rental [~Commerciai Date ~]Industrial Number of Fixtures: Bathtub f Lndry Standp Dent. Oper. Whirlpool Disposal Dip Well Lavatory t Dishwasher Drink Fm Toilet f Sump Pun-q> Wait. St. Res. Sink Ejector/Grind Ice Chest Bar Sink Water Softner Exam Sink Water Heater Local Waste Sculry Sink [3 Gas [2 Elect [] pwrVnt Clothes Wshr Hand Sink Shower Bidet F Prep Sink Floor Drain Beer Tap Sere Sink Lndry Tray CIa~srm Sink Int Grease Trap Lab Sink Surgeons Sink Ext Grease Trap Plaster Sink Breakrm Sink R.P.Z. Valve Sterilizer Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Stendp Rec Eye Wash Sm Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Size Material Type OR ~]Electric Installation Verification form attached (If Replacement) # Conn. Type Water Service 7/03