HomeMy WebLinkAbout2007-Plumbing (remodel)
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OSHKOSH
ON THE WATER
Job Address 116 S LARK ST
CITY OF OSHKOSH No 123361
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RICHARD M CAMPBELL Create Date 01/31/2007
Contractor WATTERS PLUMBING
Category 410 - Residential-Interior
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFRI Fixture replacement/miscellaneous remodel. .-DEBIT ACCT.-.
of Work
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
2 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
... .' ......,... ............,.... .,"--"~._-, .,..-.,~..-"..., ---.."-..--.......".
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0608650200
$25.00 0 Permit Voided I
Issued By
$1,500.00 Plan Approval
~
$0.00
Permit Fees
Valuation
Date 01/31/2007
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 PO BOX 118
Agent/Owner
MENASHA
WI 54952 - 0118 Telephone Number 920-733-8125
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.
~Ol(31/2007 WED
:::.
7:59
FAX 1 920 733 2713 WATTERS PLUMBING
ClLy of Oshkosh
Inspection Services Division
POBox 113 ()
Oshkosh, WI 54903-1 [30
Phone; (920) 236..5050
Fax: (920) 236-5084
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Plumbing Permit Application
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I hereby apply for a permit to do and inSU11llhefollowing plumbing 011 the premises hereinafter de~cribed. the wOJ'k 1.(\ conform It) the
Wi.>consin StClte Plumbing Code, in lht performance of which all p::u:ties hereto agree to and arc bOllnd by sflkl slfltutes.
· AppJication(s) and fce(s) can be brought to City Hall, Room 205 01' mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pcrmit(s) will rc!;ult in f~)cs being doubled or $100.00 plus the
normal permit fcc, which ever is greater. .
OR
!f...J!...9J.J are a CO.t?1!:lLq",lo/' IJorlir:;)Il./u...inlf in thfLf.:..IJDnil FCiJ ;/cLU>..!.(.!l!..../iJllf(el!l Clnd b..!.1..Y..tU!A~JJJL<J...Luunds. ch(!ckJ1JU~~!.
jLJ!..IL~!.,....l!:.g n ( t II i .~P..!,:fULi:LS sa d t h L(1J..{gJ.L_F 0 U I' a c q_!2.!I.!:!L_r;iQ
j
I)I~po~al ()rink Fin Cntch Basil)
l)1~hwl'sher Wml.SI. Wa~lh Ftll
Slimp l'ump lee Chc$l Urinal
Ejec\or/Grind ExnmSink Gllr Orain
W111ef Sonner Sculry Sink S(l(1!1 Pi ~p
!...(,crtlWa:;\e HiIIlll Sink Coffec M~l(("
Clothes Wshr F Prep Smk (:<1Il\1l1. let. Milker
llide\ Sc.rv Smk Site n"nirl
Deer Tap 1m Orcasc '1'1'('" Rolli' Drain
CllL~,rm SlIl1( Exl Grcn~c Tmp $lllndp Rec
Surgeons Sink R I' Z. Vnlvc. Eye W<1sh Sll1
13reakrm Sink Sh\'llll!> Sink Wlr Sewer Mlrs
Dip Well FirMs! Sink Deduel Meier.
Ho"e Bil.1~ Wtr lhll!;e Mlr.,
Dmcctric Installation Verification IfOI'1ll attached
WRcplnccmcnl)
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Job Addrcss--1liL_. \~~; L-li; -/',t", ,..:)~. Value (lnclndlng 111bN ,u1d 111:lterinls) '{;; i.. (;}~~\;;~''''''''''''.'M'
"( I I (' \' I \ . l 1" .. '! i " . ~ i.. 'I ""
Owner \) \Lb,;..,_~' C~ 1\\ 0 ~2i~,LL Contl'actor _._Li~:~C\-~";( (',\ 1./, U..i~::~,:ld.l'(i
~~irlglc Family Ol)llpl~X DMulti-Family DRental DCommercinl,l
Number of Fixtures:
Balhlub
Whirlpmll
l..aval()()'
'foilel
/(~s. Sink
B,lrSIIlI(
Wmor HOllIer
::! (iilS i : E1ecl : i PwiVnt
Shower ____.L
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Floor l)r(lhl
tndlY Tr:ty
t(\b Sillk
I'IMt~r Sink
Sterilize,
MISC.
Fixtures
---_..".,....,_...._-_.._.....~".."."...,.._-----_........"".,,",.....~...~-
Elcctr'ic COnh'~lctOI'
OR
Use / Natm'c ofWo!"lc (U\ \ iCv (J,e, /1(' (i' i.. ''j
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Size Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Datc-LL~) i IC\.'J
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Dlndustrial
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