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Home My WebLink About0124917-Plumbing e OSHKOSH ON THE WATER Job Address 1630 MARICOPA DR CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner KEVIN JITRINA J ANDERSON Contractor WATTERS PLUMBING Category 410 - Residential-Interior Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature SFR / BATHROOM REMODEL **debt acct of Work No 124917 Create Date OS/22/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs -- Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Valuation Plan Approval $0.00 Permit Fees $25.00 0 Permit Voided I Parcelld # 1320320000 Issued By Date OS/22/2007 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 Address PO BOX 118 AgenUOwner MENASHA WI 54952 - 0118 Telephone Number 920-733-8125 Date To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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. -".05/22/2007 TUE 9: 50 ~ FAX 920 733 2713 WATTERS PLUMBING ~OOl/001 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236.5050 Fax: (920) 236-5084 K --I C~ \ ctJ ~OJCl o THF WATF.R 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 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR . J .ee Account S stem and have ade uate unds check here :) \ Ll-I a'l Job Address \ ~~ '~(, ,V\c',r' \( G{)(\ \}\'Z , Ow " ,p....\, A l\ ,,(.J. lot, 'J/' -- C t t ner '--.\ '-Ill \ \'1~ \ !\..\;,v" ,,'V \ on rac or ~ingle Family DDuplex DMulti-Family Value (Including labor and materials) L, t~l)l: ,"(' , \,\.\(I,\~\r~ f I J (V\,bi tIC.,) DRental DCommercial Date ..A] Aile DIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Healer o Gas 0 Elect 0 PwrVn( Disposal Drink Ftn Catch Basin Dishwasher Wait St. Wash Ftn Sump Pump Tce Chest Urinal Ejector/Grind Exam Sink Gar Drain Water Softner Sculry Sink Soda Disp Local Waste Hand Sink Coffee Maker Clothes Wshr F Prep Sink Comm. Ice Maker Bidet - Serv Sink Site Drain Beer Tap Int Grease Trap Roof Drain Classrm Sink Ext Grease Trap Standp Rec Surgeons Sink R.P.Z. Valve Eye Wash Sin . Breakrm Sink Shamp Sink Wtr Sewer Mtrs Dip Well FlrlWst Sink Deduct Meters Hose Bibs Wtr Usage Mtrs -L Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor \~(.l \ t \'f rhA c... OR DElectric Installation Verification form attached (If Replacement) Use I Nature of Work ((r" \ A.\ It\,,', ,,. .r, \: 1..J,-:r\ .1 t)~ (vl \I / ~J, 11/) o'olL/\ Size # Conn. Type Material Type Sanitary Sewer Stonn Sewer Water Service 11/05