HomeMy WebLinkAbout0123685-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1335 JUDY LEE CT
Contractor WATTERS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ~FR I Replace lavatory & toilet. **DEBIT ACCT**.
of Work
Valuation
Issued By
CITY OF OSHKOSH
No
123685
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner GEORGE M/MELlSSA F KALKA Create Date 03/05/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1343730000
$1,270.00
$0.00
$25.00 D Permit Voided I
Plan Approval
Permit Fees
(hrto
Date 03/05/2007
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
Agent/Owner
MENASHA
Address PO BOX 118
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.
FAX 920 733 2713 WATTERS PLUMBING ~~~ City of Oshkosh
~~/05/2:07 MON 10,3'
:::
~001/001
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VV154903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOiH
ON THf. \VATFR
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Plumbing Permit Application
I hereby apply for a permit 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 all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can, be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 128,
Oshkosh WI 54903- 1 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Job Address i'~;t:; Jvdy j :f~ C::f. Value (Including labor and materjalsL~j..2.1 Q Date '6-6-(,;"/,
OW7 {)80Y~, \c ))'\ ~"). cii'ni}actor \1\/:d.+t-eY& P\ (A Yh b\Yt) .
!E1Single Family ODuplex DMulti-Family ORentaJDCommercial OIndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
[) Gas C1 Elect [J PwrVnt
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidel
Beer Tap
Classl'm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Drink Ftn
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
R.P,Z. Valve
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. tce Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mlrs
-L
-L
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
OR
DElectl'ic Installation Verification form attached
{IfR.pl="""" Y I ")?J ~ g S
Use / Nature of Work .
Size
Material
Type
#
Conn. Type
Sanitary. Sewer
r-.J_<f,20. '\
'(V) ,y-.. ,
Storm Sewer
VVater Service
C c;CP tucrllz/0./ /{J[;-J .=\t 2-.20 S~
11/05