HomeMy WebLinkAbout2007-Plumbing
e
OSHKOSH
ON THE WATER
Job Address 1698 RIVER MILL RD
CITY OF OSHKOSH
No
127814
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner DEBRA A TREMBLE Create Date 11/14/2007
---"
Category 410 - Residential-Interior 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
DipWelJ 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
Use/Nature
of Work
Valuation
/SFR / SHOWER REMODEL, EIV SIGNED BY BELL ELECTRIC "debt acct
I
i
i
,
~
j
Size
Material
#
Type
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1224150000
Plan Approval
$0.00
$25.00 0 Permit Voide~J
Issued By
$3,000.00
~~
Date 11/14/2007
Permit Fees
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
AgenUOwner
Address PO BOX 118
MENASHA
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.
FAX 920 733 2713 WATTERS PLUMBING
~001/001
1'/'3/2007 TUE 17,08
City of Oshkosh
Inspection Services Division
POBox I J30
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
\L,'1 \1 ,
~
OfHKOfH
ON THf WATFR
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 1128,
Oshkosh WI 54903- 1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1 in the Permit F.. e Account S stem and have ode uote unds check here
our account
Job Address_H..eq ~ \l\\l-et\WWJ 'l4~
. A'
Owner \)e\o \i(:w0.o\e.
~ingle Family DDuplex
*3 0.....1\ C;J' II"'? J /'.....\'......
Value (Including labor and materials) 'i !vU , Date~
WG.~ fL\J,WdJll9 ":U1C
DRental DCommercial Dlndustrial
Bathtub
Whirlpool
Lavatory
Toilet
Res, Sink
Bar Sink
Water Heater
lJ Gas U Electl] PwrVnt
Shower -L
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor DfLL t {-e.dUc_
Number of Fixtures:
Contractor
DMulti-Family
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
,Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Drink Ftn Catch Basin
WaitSl, Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sillk Coffee Maker
F Prep Sink Comm. Ice Maker
SelV Sink Site Drain
lnl Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P,Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct MeIers
Wtr Usage Mlrs
Use / Nature of Work )h~v\\t'A- rLtWl o<iLl
OR
DElectric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Conn. Type
Storm Sewer
Water Service
Size
Material
Type
#
11/05