HomeMy WebLinkAbout0127373-Plumbing (Bathroom remodel)
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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
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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