HomeMy WebLinkAbout0124675-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1643 MARICOPA DR
CITY OF OSHKOSH
No
124675
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner IFTIKHAR A MALlKlHUMA P AHMAD Create Date 05/04/2007
Category 410 - Residential-I nterior 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
Contractor WATTERS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof' Drain
Misc.
Fixtures
Use/Nature SFRllnstall partition walls to create Family Room, Storage Room and Bathroom. * HVAC by C&S of Freedom. **DEBIT ACCT**.
of Work
Valuation
Issued By
Size
Type
Conn. Type
#
Material
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1318040000
$2,200.00 Plan Approval
(C~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 05/0812007
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
WI 54952 - 0118 Telephone Number 920-733-8125
Address PO BOX 118
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 PLUMSING ~~~ City of Oshkosh
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OJHKOfH
ON THf. ,VATER
Plumbing Permit Application
T hereby apply for a permit to do and instal! 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 1128,
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
'ou want this
I
Job Address (co?\.3 M;)y\'(...OP::> Vv', Value (Including labor and materials) {' 2200 Date?' 8 -01
Owner \3\ iV1JL- CQV1~tNlTh'V' cJi{fr.actor \IV ~tte~ r\ J \'VI bHj \ )"1J?-.
~gle Family DDuplex Cf".7[j>Multi_Family DRental DCommercial DIndustrial
Number of Fixtures:
. Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
[) Gas [j Elect [) PwrVnt
-L
-L
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Drink Ftn Catch Basin
Wait.S!. Wash Ftn
Tee Chest Urinal
Ex.am Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrfWst Sink Deduct MeIers
Wlr Usage Mtrs
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
~
Electric Contractor
OR
DElectric Installation Verification form attached
(lfReplacement)
Use / Nature of\Vork
Size
Material
Type
#
Conn. Type
~~
v\(o
\.~
Sanitary Sewer
Storm Sewer
Water Service
C' ,,-;-.;7 U \- .DcJl~/\ -; Ct. (,-J 'R-' 2- 2-0 5-40 ~
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11/05