HomeMy WebLinkAbout0098596-Plumbing (re-pipe)OSHKOSH
ON THE WATER
Job Address 322 W 15TH AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner YING C/CHAY YANG
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 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
No 98596
Create Date 11/13/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature SFPJ Re-piping water lines.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $1,450.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
,Date 11/13/2002
[] Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
MENASHA WI 54952 - 1129 Telephone Number
Address 1303 MIDWAY RD, PO BOX 118 800-801-8125,733-81
:, Frm: 11/11/2002 16:30 P,O02
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 5a903-1130
Phon~: (920) 236-5050
Fax: (920) 236-5084
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 ro thc
Wisconsin State Plumbing Code, in the performance of which alt parti:s.hereto agree to and are bound by said s~amtes.
· Appliaation(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 I28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal p~'mit fe~, which ever is ~'eater.
OR
If you are a contractor participating in the ?ermlt F, ee ,4ccount System and.have adequate fund~, cl~eck here
(f you. w_ant this t~rocessed .t.t~,ro~qeh voFr ag¢ou,~l ~ -
Job Address . ..~,:,,a, ff ~t /~y~'/~// Value(,~=,~dlns~,~or~na~te~iat~) ./~"~'Z~.t~ Date
Owner d",f.~z., ~.-~,~/~ _. Contractor .....
/
~ingle Family [=]Duplex ['=]Multi-FAmily [~Rentai [~]Commercial [--]Industrial
Number of Fixtures:
Bathtub Lndry Stanc~p ~ Den~. Oper, ,, Sharr'~ Sink
Whirlpool D4a-Ooiai Dip Wall Flr/Wst S~k
~vnm~ Dish~tshe~ . ._ ~nk Ftn ._ . Catch
Toilet $u~ Pu~ Wail. St. Wash Pm
Rc~, Sink Ej~t~/~nd _. _ [cc Chest Unnal
Bar S~k Water So.er E~m Sink Gar
Water H~t~ Local Waste , Scul~ Sink Soda Disp
Sho~r .... Bidet F Prep Sink Ice Mak~
~oor ~in Beer Tap Se~ Sink ~ .. Si:e
Lnd~ Tray Claas~ Sink ln~ Orcasc Trap Roof
~b Sink S~seons Sink Ext Grease Trap S~andp Rec
Plast~ Sink Bmm~ Sink
St~lizer
Electric Contractor
Use / Nature of WOrk
[-]Electric Install&fion Verfficatt~n form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size
Material Type # Com~ Type
3/02