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HomeMy WebLinkAbout0127373-Plumbing (Bathroom remodel) o OSHKOSH ON THE WATER Job Address 416 CONGRESS AVE CITY OF OSHKOSH No 127373 PLUMBING PERMIT - APPLICATION AND RECORD Contractor WATTERS PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn rFR TBATHROOM REMODEL"",! "or- ' Owner CHARLES R CLARK -- - Category 410 - Residential-Interior Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Create Date 10/19/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Sanitary Sewer I I ._---l Storm Sewer Water Service Size Material Type # Conn. Type Parcelld # 1208810000 Valuation $3,000.00 Plan Approval__~_______~0.Q9 Permit Fees Issued By ~ $25.00 Permit Voided Date 10/19/2007 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 Agent/Owner MENASHA Date WI 54952 - 0118 Telephone Number 920-733-8125 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. ~0/19/2007 FR! B: 0 B FAX 920 733 2713 WATTERS PLUMBING ~OOl/001 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI54903-1130 Phone: (920) 236-5050 Fax; (920) 236-5084 ..~ OfHKOfH ON Tf.lF WATER R 1 \ ~C) 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] 128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which everisgreater. OR . ee Account S stem and have ade Job Address ~ \LR (OVV.y\.M'J ~ Owner r.l \{tv\ CJ.fA r'k.. It'lSingle Family DDuplex 1\> ~rffif\~ Valu e (Including labor and materials) t UVV I , \1--\0- \\fA..D P/~~~JOI1t3 DRental DCommercial DateAJ j Vi J D1 JVlC. DIndustrial Contractor DMulti-Family Number of Fixtures: -L Bathtub Disposal Drink Ftn Catch Basin Dishwasher Wait. 51. Wash Ftn Sump Pump Ice Chest Urinal Ej ector/Grind Exam Sink Gar Drain Water Sortner Sculry Sink Soda Disp Local Waste Hand Sink Coffee Maker Clothes Wshr F Prep Sink Comm. lee Maker Bidet Serv Sinl> Site Drain Beer Tap Int Grease Trap Roof Drain Classrm Sink Ext Grease Trap Standp Rec Surgeons Sink R.P.Z. Valve Eye Wash Stn Breakrm Sink Shamp Sink Wtr Sewer Mtrs Dip Well FlrlWst Sink Deduct Meters Hose Bibs Wtr Usage Mtrs Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater [I Gas [] Elect!J PwrVnt -L- -L Shower floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor fS eJ I t I fc. f1{c OR Use / Nature ofWork~ wtAtlcX).1A-. rU-tVloolJ, DElectric Installation Verification form attached (I[Replacement) Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 11/05