HomeMy WebLinkAbout0099440 POSHKOSH
ON THE WATER
.lob .Address 69 STONEY BEACH RD
Contractor WATTERS PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SUSAN A CASE
Category 410 - Residential-Interior
1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99440
Create Date 01/13/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Remodel.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$7,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 01/13/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
i
From:
City or Oshkosh ~ G 0
Inspection Services Division
P 0 Box 1130
Oshkosh. WI $4903-1 ! 30
Pl~one: (920) 23~5050
Fax: (920) 236-S084
0171812008
]0:29 ~08 P.O0]
O/HKOfH
ON THE ~VAT~R
Plumbing Permit Appl!cation
hereby apply for a permit to do and install tile following plumbing on the premises hereinafter described, d~e work to cenf~rm to the
Wisconsin State Plumbing Code, in the performance of whicJ~ all panics hereto agree to and are bound by said statutes.
Owner -~_, ¢ C c_< ~ Contractor ~ ~. ~ ~/,. ~ Z,~
~Sinffle Family ~Duptex ~Multi-Family ~Rental ~Commercial
~-"]Industrial
Number of Fixtures:
[~alhlub I.ndry SlantJ p ~ D¢lll,
Whirlpool l)i~pg~s-'d Dip
]-av~lO?y _. Dishwasher OHnk Fm'
Floor Dram Bidet ._ F Prep Sink'
Sterilizer II~akrm Sink
Use / N.t.re of Work R ~ ~'o Ze /
Shnmp Sink
FldWst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Icc Maker
Site Dmfn
Staodp Rc~
Sanitary Sewer
Size Material Ty!0e #
Conn, Type
Storm Sewer
Water Service
Check here if you waltz this processed throttgh your accottnt ~
From:
FROM ;
NO.
:
01/13/2003
10:29 ~08 P.O02
0~. l? 21~1~
P2
Electric Installation Verification
(Elecwic~l Con.actor Name)
(Address) (City) (State) (Zip Code
have be~ connoted ~ p~b~ elec~c inst~lation work for ~R ~ ,
~e Ofp~ ~ac~d to)
(Ad~s wh~e wo~ ~11 be
(Ch~k One or Des~be ~ Na~ of W~rk)
A~o~c~on or ~ c~t ~ replac~t Hea~g Plmt ~or ~C Cond~er.
~o~don or new cim~R f~ r~pl~nt El~c Wat~
R~o~on of the S~ice ~e Cable, M~r Box, ~t~afions to re~taclcs ~d
li~g fi~ due to sing / soffit in~llafion. Note: New S~ice Entr~ce
Cables ~ll ~quirc a s~ate pe~it.
Reco~don or n~ ~uit for o~cr ~~tiy wired appliers /
Other
The nature o£the work consist~
The v~lue of this work is $~? 0 ~.
I hereby verify, this work will be performed by an employee of this company snd further verify thc
reconnection / in-~taIlatlon will be doae in compliance with manufacturer
r~ir~aenis.
(Si~.atur¢ of Comply OhScer)
O:¥int Name of Officer)
/"/3'0~_