HomeMy WebLinkAbout0116384-Plumbing VOID VOID VOID
e
OSHKOSH
ON THE WATER
Job Address 1326 POWERS ST
CITY OF OSHKOSH
No
116384
PLUMBING PERMIT - APPLICATION AND RECORD
VOID
Owner DAVID R GLAZE
Category 410 - Residential-Interior
0 Water Softner 0 Wail.SI. 0
0 Local Waste 0 Ice Chest 0
0 Clothes Wshr 0 Exam Sink 0
1 Bidet 0 Sculry Sink 0
0 BeerTap 0 Hand Sink 0
0 Lab Sink 0 Plaster Sink 0
0 Sterilizer 0 Surgeons Sink 0
0 DlpWell 0 F Prep Sink 0
0 Drink Ftn 0 Serv Sink 0
Create Date 09/21/2005
Plan
Contractor D R GLAZE PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Disposal
Res. Sink 1 Dishwasher
Bar Sink 0 Sump Pump
Water Heater 0 Classrm Sink
Site Drain '0 Breakrm Sink
Roof Drain 0 Ejector/Grind
Misc. 0
Fixtures
Shamp Sink ~
FlrlWst Sink ~
Catch Basin ~
Wash Ftn 0
Urinal 0
Standp Rec 0
Ice Maker ~
Gar Drain ~
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap ~
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
of Work
Valuation
Issued By
FRiReplace sink & defective disposal.
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 Parcelld #
0 1507680000
$450.00
Plan Approval
$0.00
$20.00 0 Permit Voided I Incorrect Contractor
Date 09/21/2005
Permit Fees
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
Address
Date
AgenUOwner
1865 JAMES RD
OSHKOSH
WI 54904 - 0000
Telephone Number
920-589-4014
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.
e
OSHKOSH
ON THE WATER
Job Address 1326 POWERS ST
CITY OF OSHKOSH
No
116384
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor D R GLAZE PLUMBING
Category 410- Residential-Interior
Create Date 09/21/2005
Plan
Owner DAVID R GLAZE
Bathtub 0 Shower 0 Water Softner 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin ~ Ext Grease Trap 0
Toilet 0 Disposal 1 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 1 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal ~ Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 PlasterSink 0 Standp Rec ~ Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker ~ Deduct Meters 0
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp ~
Misc. 0
Fixtures
Use/Nature
of Work
SFRIRepiace sink & defective disposal.
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 Parcelld #
0 1507680000
Valuation $450.00
IssuedB~'
Plan Approval
$0.00
Permit Fees
$20.00 0 Permit Voided I
Date 09/21/2005
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
Address 1865 JAMES RD
AgenUOwner
OSHKOSH
WI 54904 - 0000
Telephone Number
920-589-4014
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.