HomeMy WebLinkAbout2007-Plumbing (whirlpool)
CITY OF O' HKOSH No 125161
PLUMBING PERMIT -APP ICATION AND RECORD
I
o
OSHKOSH
ON THE WATER
Job Address 280 WYLDEWOOD DR
Contractor WATTERS PLUMBING
Category 410 - R sidential-Interior
Owner GERALD F/SHARON L VOGT Create Date 06/05/2007
Plan
Shower Water Softner Wait. S . Shamp Sink
Floor Drain Local Waste Ice Ch t Flr/Wst Sink
Lndry Tray Clothes Wshr Exam ~ink Catch Basin'
Disposal Bidet Sculry ~ink Wash Ftn
Dishwasher Beer Tap Hand Slnk Urinal
Sump Pump Lab Sink Plaster~ink Standp Rec
Classrm Sink Sterilizer Surgeo s Sink Ice Maker
Breakrm Sink Dip Well F Prep ink Gar Drain
Ejector/Grind Drink Ftn Serv Si Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR /Install whirlpool (air tub) in bathroom. (Bell Electric) ""DEBIT A' Cr".
of Work
Valuation
Issued By
Size
Material
Type
#
Conn. Type
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Parcelld #
1632003600
Date 06/05/2007
f I
In the performance of this work, I agree to perform all work pursuant to rules gov rning the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of hich it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges tile permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity. '
Signature
Sanitary Sewer
Storm Sewer
Water Service
$3,000.00 Plan Approval
~
$0.00 Permit Fee
I
$25.00 0 Permit Voided I
Date
Agent/Owner
Address PO BOX 118 MENASHA WI 54952 - 0118 Telephone Number 920-733-8125
To schedule inspections please call the Inspection Request line a 236-5128 noting the Acldress, 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 i~ ready at the time the request is received. Work may
continue if the inspection is not performed within two business dJys from the time the project is ready.
FAX 920 733 2713 WATTERS PLUMlING
V06/05/2007 TUE 6: 50
:::
:::
ICJ uL. C)
City of Oshkosh
Inspection Services Division
POBox 1 130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plum bing Per
~001/001
~
OfHKOfH
ON T~.(F i.VATER
it Application
I
I hereby apply for a permit to do and install the following plumbi g on the premises hereinafter described, the work to conform to the
W"oon,'n State Plumblng Cnd" In th, p,nn<m,"oo nfWh]Ch all parties hereto agree to an:d are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, R om 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without ~ermit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
1
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Job Address /J lJ ~-J\J lr),tWCCc\
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DSingle Family DDuplex
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Value (Incluring labor and,.~ateria~S) ~ .:)
Contracto~ \;'-..iC'...\\ev j
PI .," --.
. V~ivvv.)1 l\J
DCommercial
...,.-
J.-Vl C
Dlndustrial
Owner
DMulti~Family
~
Number of Fixtures:
Bafhtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
iJ Gas U Eject U PwrVnt
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Wasle
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
---L- (C\ \ v\
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
if .,'\\ (~\ '\ ~
DC. ((('. (\C
Use / Nature of Work
~ . I
\)(,'\ ,YV\ { ((; {\I'\
\U~. '~V'\ (l(~i.\
Size
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
(uC:
l.C
Date C. Ilj I C -1
DRental
Drink Fm Catch Basin
Wait.S!. Wash Fm
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. J ce Maker
Scrv Sink Site Drain
Jnt Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP.Z. Valve Eye Wash Stn
Shamp Sink Wtr Scwer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
OR
DElectric Installation Verification form attached
(If Replacement)
#
Conn. Type
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11/05