HomeMy WebLinkAbout0099870 POSHKOSH
ON THE WATER
.lob Address 212 W PARKWAY AVE
Contractor WATTERS PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ANTHONY J PALMERI
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99870
Create Date 02/18/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Installtoilet.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$850.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 02/18/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
Fronl:
02/18/2003 09:82 #118 P.002
Ci~ of Oshkosh
Inspection Services Division
? O Box 1130
Oshkosh, WI $4903.1130
Phone: (920)
Fax: (920) 236-5084
O./HKO/H
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 Plumbiog Code, in the performance of which all parries, hereto agree to and arc botmd by said stam~es.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S~rvices, PO Box 1 I28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100,00 plus thc
normal permit fee, which ever is greater.
OR
!f.vou are a contractor participating in th¢,P~rmiL~ee Mccount System and have adequate funds, check her,
i~vot~ ~anLthi$ processed th;'ou~th ~.our account ~
Job Address z~/~, ~J. ~.......~_~.:_ Value ¢,.e,.~i.s ,aborand ~,~a~) ~. ~ Date~
Owner ~~. ~~; ~ Contractor . ~~~ ~~~
~iagle Famil~ ' DDuplex DMulti-Family DRe.tal DCommereial ~lad.strial
Number of Fixtures:
Bathtub __ Lndr~ Siandp .... Dent. (3per. -----.-.- Shamp Sink
Whirlpool Disposal Dip Well Fir/R/st Sink
Lavatory Diahwa~h~tr Drink Fm Catch Basin
Toitet "~--'"
Sump Pump Wait. St, Wash Fin
Res. Sink Ejector/Grind _ Ice C'he,~t Urinal
Bar Sink Water Softner Exam Sink Car Drain
Water Heater Lo~al Waate Sculry Sink Sods
~.. Gas r! Elect 2 PwrVnt
ClOthes Wshr Hand Sink Coffee Maker
Shower
~ Bidet g Prep Sink Ice Ma~er
Ftoor Drain
B¢¢~ Tap .... 5crv Sink ,. $fl¢ Drain
Lndry Tray Claasrrn Sink Iht Grease Trap Roof Drain
Lab Sink
Surgeons Sink _. Ext Grease Trap
Electric ContractOr
Use / Nature of Work
samuuT Sewer
Storm Sewer
Water Service
OR [~Electric Installation Verifieati6n form attached
Size
(If Replacement)
Matcriat Type # Corm. Type
3/02