HomeMy WebLinkAbout0098673-Plumbing VOIDOSHKOSH
ON THE WATER
.lob Address 3295 ISAAC LN
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PATRIARCHS SUBDIVISION LLC
Category 410 - Residential-Interior
Bathtub 1 Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 3 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 Lndry Stndp 0 CIothesWshr 1 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 1 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 98673
VOID
Create Date 11/18/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
New single family 1 stow with 2 car attached garage, 12' x 12' patio.
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
$6,202.00 Plan Approval $0.00
Size Material Type
# Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permit Fees
$96.00
Date 11/18/2002
Permit Voided I Not awarded job
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
OSHKOSH
ON THE WATER
,Job Address 3295 ISAAC LN
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner PATRIARCHS SUBDIVISION LLC
Category 410 - Residential-Interior
Bathtub 1 Shower 2 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 3 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 Lndry Stndp 0 Clothes Wshr 1 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 1 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 98673
Create Date 11/18/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
FFR/
New single family 1 story with 2 car attached garage,
12' x 12' patio.
Sanitary Sewer
Storm Sewer
Water Service
Valuation $6,202.00 Plan Approval $0.00
Issued By
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Permit Fees $96.00
Date 11/18/2002
[] 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
--- Fro : 11/18/2002 09:85 P.O01
Civ/of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, 'vVI 54903-1130
Phone: (920) 236-$050
Fax: (920) 2~6-~084
O/HKO../"F
Plumbing Permit Application
I hereby apply for a pcrrmt to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which alt ponies hereto agree to and are. bound by said statures.
s Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Service~, PO Box 1128,
Oshkosh WI $4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus
normal permit fee, whioh ever is greater,
OR
If vqu ara a contractor particivattn~, in th_e P~rmirt Fee/~c~em and have .adet~uote .funds, check ~qre
i£ vou want this ~roce,,ed through your a~count ~ ~ ~ b~ I
Owner 'Contractor ~_.~ ~ Xg.'~
~Smgle Family ~-]Duplex [-']Multi-Famlly ~']Rental ['-]Commercial ]---]Industrial
Number of Fixtures:
Bathtub ~ Llldry Slandp Dent. ODer. ~ S.hamp Sink
W)~idpoo! Disposal , ] Dip Well . Flr/Wst Sink
LavatoIT ~.:~ Dishwasher _ ! Drink Fm ~ Ca,ch Basin
Toilet _ ..~ . Sump Pump [ Wait. St, Wash Ftn
Res. Sink i F. jectot/Grlnd Icc Chest Urinal
B~' Sink Wster $oftner Exam Sink Oar Drain
Wa~er Heat-,r ~ Lo,al Waste ~ Seulry Sink Soda Disp
kiLr'Gss ~ l~leet D P'~wVnt Clothes Wlht ~ Hand Sink Coffe~ Maker
Shower ~.., Bidet F Pr~ Sink .,, Ice Maker
Floor Drain ~ i~eer T~p Scrv Sink Si~e ~m
Lndry Tray , Clat,~rm Sink lrlt Oreas~ Trap _ Roof Drain
Lab Sink Surgeons Sink Ext Gr~se Trap gmndp Re;
Sterilizer
Electric Contractor
Use / Nature of Work
,O'R ~Electric Installation VerificaticTn form attached
Sanilary Sower
Size Material Type
(If Replacement)
Ston'P. Sewer
Wa~er
Conn. Type