HomeMy WebLinkAbout0103752-Plumbing (shower)OSHKOSH
ON THE WATER
.lob Address 220 240 250 W 9TH AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PEACE LUTHERAN CHURCH
Category 440- Industrial-Interior
No 103752
Create Date 08/27/2003
Plan
Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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
Use/Nature CHURCH/#250/ Install shower.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $1,090.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 08/27/2003
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 holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
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.
JFrom: 08/22/2003 12:55/052 P.O02
City of Oshkosh
lr~pect/o: Services Division
I~ O Bo× III0
Oshkosh, WI 54903-] 130
Phon~: (~20) 2~6-50i0
Fax: (920) 23~084
Plumbing Permit Application
I h~reby apply for a pemg~ to do and/nstall the follow/rig plumbL~g on the prem/ses 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 i've(s) can be brou~ht to Ciiy Hall, Room 205 or mailed to Inspection Services, PO BOX 1128,
Osbkosh 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 purtlci~ati~F In the Permit Fq~ A¢¢ou,t Spstem anti have adeauate funds. ¢ltecl' /fete
~'Single Family [-'~Duplex [~]Multi-Family [~}Rental [~]Commercial L--]tndustrial
Number of Fixtures
Bathtub Lndry Sta~dp Dear. Oper._
Electric Contractor
Use / Nature ot'Work
Sanitary Sewer Size Maxem! T~a
Storm Sewer
Water Service
I'-]Eleetrie Installation Verlilcatidn form attached
(If Rel~laeemen0