HomeMy WebLinkAbout0103751 POSHKOSH
ON THE WATER
.lob Address 1126 JACKSON ST
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FRANKLYN/HELEN CAMPBELL
Category 411 - Residential-Water Heaters
No 103751
Create Date 08/27/2003
Plan
Bathtub 0 Shower 0 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 1 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 SFR/Install gas water heater.
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 $499.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 08/27/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~ - ~ Frc~: 08/25/2003 11:48 ~81 P,802
Ci~yofOshkesh
Impec~ion Services Diviskm
Oshkosh, WI
Phona:(~20) 2~6-~0S0
Plumbing Permit Application
I hsreby apply for a p~rmi! Io do and u~tall the t'ollowin$ plumbing on the premises llereinai"ter described, the wo~rk to cont'oten lo the
Wisconsin State Plumbing Code, in tilt performance of which all parches herelo a~i'ce lo and are. hormel by said ststlites.
· Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Insp~tion Services, PO Box I 128,
Oshkosh WI $4903-1128. Commencing work withe,,! permit(s) will resuh in tees being doubled or $100.00 plus the
normal permit fcc, which ever is greater,
OR
~f.vou ar~ a contracrar oa~tt,cipatin_e in l~¢,t~ermit~Fee AeCqunt Swtem and have adeouate funds, check he~e
fi, you want tbia vroce~$ed through your account ?4x.
Owner ~.ff~t~. c--~;~.s~ff,~.e.~_ .'Contractor
[~ingle Family [~Duplex I-]Multi-Family. ~-]Rentnl [~Commereial [--]Industrial
Number of Fixtures:
Elect~c Contractor
Use / Nature of Work
O-R [~Electric Installation VerificatiOn form attached
Sanitary sewer size Material Type # Con~. Type
Storm Sewer
Water Service