HomeMy WebLinkAbout0098638-Plumbing CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2460 HEARTHSTONE DR Owner MICHAEL/MARGIE PUHL
Contractor WATTERS PLUMBING Category 410 - Residential-Interior
Bathtub 1 Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 ServSink
Lavatory 3 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 3 LndryStndp 0 CIothesWshr 1 Ice Chest 0 FIr/Wst Sink
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin
BarSink 0 Dishwasher 1 BeerTap 0 SculrySink 0 Wash Ftn
Water Heater 1 Sump Pump 1 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 NSFR
of Work
No 98638
Create Date 11/07/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
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 $7,756.00 Plan Approval $0.00 Permit Fees $102.00
Issued By
Date 11/14/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
MENASHA WI 54952 - 1129 Telephone Number
Address 1303 MIDWAY RD, PO BOX 118 800-801-8125,733-81
From: 11/14/2002 10:24 P,001
cap/of Oshkosh
Inspection Services Division
P O Box l D0
Oshkosh, WI 54903-! 130
Phone: (920) 236-$050
l~ax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a perrait to do and install the following plumbing on ~e premises hereinafter described, fire work to conform to the
Wisconsin State Plumbing Code, m the performance of which all pan, les hereto a~ree lo and arc. bound by said s~lutes.
· 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 resul! in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Il' you are a contractor participating in the PermitrmFee~ccoun~ System ~ncl have adequate _£unds. check here
if you want this t~rocessed through your account It. J/
Owner 'I"P,- M[X~ Contractor
· ,~ingle Family I-']Duplex [~Mulfi-Family [-]Rental [~ommerclal
[-]Industrial
Number of Fixtures:
l~athmb
wl~idp~o)
L~vatory
Res. Sink
B~,r Sink
r~s 2 Elect ~ PwrVat
Sho~er %
Sink
PI~ Sink
Electric Contractor
Use / Nature of Work
I.ndry Sisndp DenL Opm'.
Disposal ]"~ Dip Well
Dfshwssher 1 , Drink Pm
Sump Pump ~ Wait, St.
Ejector/Grind Ice Chest
WMCF SOftner Elmm Sink
Local W~e Scuby Sink
Clothes Wshr ] ' Hand Sink
Bidet __ F Prop Sink
B~cr Yap .... Sct'~ Sink
Cla~srm Sink Iht Grease Trap
Surg~on~ Sink Ext Grease Trap
Br~krm Sink
Shamp Sink
FIrAV~ Sink
Cet~h Basin
Wash Fm
Urinal
(~ar Dreil~
~ Disp
C~ Mnk~
ke Mak~
Sim
Smndp
['--]Electric Installation VerJflcatfSn form attached
(If Replacem~O
Sanitary Sewer
Storm Sewer
Watea' Service
Size Material
TYl~
# Conn. Typ~