HomeMy WebLinkAbout0103848-Plumbing (lav & toilet)OSHKOSH
ON THE WATER
.lob Address 2615 B HAVENWOOD DR
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SUSAN M IWANSKI/AMY E REISE
Category 410 - Residential-Interior
No 103848
Create Date 09/02/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 ClothesWshr 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 CONDO/Install lav& toilet.
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 $800.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date 09/02/2003
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.
,-From:
City of Oslgcosb
~nspection Services Division
POBox lI30
OshkOSh, WI 5490:3-1130
Phone: (920) 236.$050
Fax: (920) 236-5084
08/29/2008 ]1:52 #108 P.O02
Qf-KQ/H
Plumbing Permit Application
I hereby apply for a perrrgt to do and msm~ the following plumbiag on the premises hereinaiter described, the work ~o eot, form to the
Wisconsin State Plurabing Code, h~ the performance of which all par~es hereto agl~'e Io and are. bound by said statuteS.
· Application(s) and fe~s) can be brought to Ci:y Hall, Room 205 or mailed to InSPection Services, PO Box 1128,
Oshkosh WI $4903-1128. Commencing work without permit(s) will r=suh in fees being doubled or $I00.00 plus the
normal parrot f~:, which ever is greater.
OR
ff vou are a contractor aarttci~atlne tn the Permit Fee Account Sv&tem and Aav¢ adeouate funds, check here
if~ott want t}tis orocessed throug~ your account .[~
Job Address ¢~7~ g ~ ./~.~.4;/~Ln..o~ Valae (~l.dl,s ~r,,a ~,~.~ ~'~ Date~
Owner ~~ 'Contractor __'~ ~ ~ /~
~iugle Family ~Dnplex ~Commercial ~.dosirial
[~]Multi-Fanffiy [~]Rental
~..~ rn~,/~ /.~..,r.,~ ~
Number of Fixtures:
[~athtub Lndry Smndp ......... D~nl. Opc~. S~n~ Sink
W~itlpool Disposal Di~ Well Flr~Vst Sick
L~wtorl, ( Dishwsal~n' -- D~nk Fm Cash ~aain
Toilel / S~ PU~ wail S~ w~h Fm
Rea. Sink ~t~nd l~ C~t , Ug~l
PJalter Sink ....... 9r~ S~g ~
Electric Contractor
Use 1 Nature of Work
O~R [~Eiectric lnstnllitlon Veriflcntlgn form attached
{If Replaeer~lellt)
Sanitary Sewer Size Material TYPe # Conn. Type
Storm, Sewer
Water Se~ice,,