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