HomeMy WebLinkAbout0125634-Plumbing (tub)
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OSHKOSH
ON THE WATER
Job Address 320 W 12TH AVE
CITY OF OSHKOSH
No
125634
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
Owner ANN M REINKE Create Date 0710312007
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
UselNature
of Work
Valuation
Issued By
SFR 1 Replace tub. ""DEBIT ACCT"",
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0903810000
$1,683.00 Plan Approval
~
$0,00
$25.00 D Permit Voided I
Permit Fees
Date 07/0312007
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.
:--07/03/2007
i
TUE 15:00
FAX 920 733 2713 WATTERS PLUMBING
~001/001
City of Oshkosh
Inspection Services Division
POBox I 130
Oshkosh, WI 54903-1 J30
Phone; (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE \VATF.R
Plumbing Permit Application
I hereby apply for a permit to do and install the following pJumbing 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 J 28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If YOU are a contractor particivating in the Permit Fee Account System and have adequate funds, check here
if yOU want this processed through your account n
i
Value (Including labor and materials)
Job Address -.)12.0 W l ).+-\1 A\/f~
,
Owner J.\V\'(l Pei(\KQ
[gJSingle Family DDupJex
Number of Fixtures:
ti
Bathtub
Whirlpool
Lavatol)'
Toilet
Res. Sink
Bar Sink
Water Heater
D Gas CJ Elect Ci PwrVnt
Shower
Floor Drain
Lndl)' Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Contractor
DMuJti-Family
Disposal
DishwaSher
Sump Pump
Ejector/Grind
Water Sonner
Local Waste
Clothes W shr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Date 7/ () to 7
c
Drink Ftn Catch Basin
Wait. St. Wash Ftn
ke Chest Urinal
ElI:am Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
r Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ex! Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wlr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wlr Usage Mtrs
Electric Contractor
DEJectric Installation Verification form attached
(If Replacement)
Ql1
Use / Nature of Work ,(:( \> () I O.L~ . ..n.Ab
Sanitary Sewer
Storm Sewer
Water Service
Size Material
Type
#
~~-
6lJ
\~
Conn, Type
'!25: fROtv\ ACC0LtNT
4> 2,5.,
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