HomeMy WebLinkAbout2008-Plumbing (bathroom remodel)OSHKOSH
ON THE WATER
Job Address 1317 PIERCE AVE
Contractor WAITERS PLUMBING
CITY OF OSHKOSH No 128330
PLUMBING PERMIT -APPLICATION AND RECORD
Bathtub 1 Shower Water Softner
Whirlpool Floor Drain Local Waste
Lavatory 1 Lndry Tray Clothes Wshr
Toilet 1 Disposal Bidet
Res. Sink Dishwasher Beer Tap
Bar Sink Sump Pump Lab Sink
Water Heater Classrm Sink Sterilizer
Site Drain Breakrm Sink Dip Well
Roof Drain Ejector/Grind Drink Ftn
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Owner PETER W/DONNA GILLINGHAM Create Date 01/04/2008
Category 410 -Residential-Interior
Plan
Wait. St. Shamp Sink Coffee Maker
Ice Chest FIr/VNst Sink Int Grease Trap
Exam Sink Catch Basin _ , Ext Grease Trap
Sculry Sink Wash Ftn RPZ Valve
Hand Sink Urinal Eye Wash Statn
Plaster Sink Standp Rec Wtr Sewer Mtrs
Surgeons Sink Ice Maker Deduct Meters
F Prep Sink` Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp
Date 01/04/2008
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
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 notinct the Address. Permit Number. Tvoe 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 fram the time the project is ready.
$~ Plan Approval $0.00 .Permit Fees $25.00 ^ Permit Voided
D1/04/2008 FRI
7:37 FAX 92D 733 2713 WATTERS PLUMBING
' v,
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, W[ 54903-1130
Phone: (920)236-5050
Fax: (920)236-5084
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ON TNr it'ATFR
Plumbing Permit ,Application
1 hereby apply for a permit to do and install the fallowing plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which ail, parties hereto agree to and are bound by said statuses.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box l 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 ever is greater.
OR
• i ,`7
Job Address Its i7 1 ~.~~ ~ ~,~ 'd Value (IncluAing labor and materials) ~~, UV~ .C~ Date I Z~O~
Owner ~ ~' ~-~ , ~~i~.{,~1 n G; n ti•~ stn Contractor 1t.~ , ' ~ ~ Jt~,i~~ ~~<'
Single Family ^Du~lex ^Multi-Family ^Rental ^Commercia ^Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory ~_
Tcilet t
Res. Sink
Bar Sink
Water Heater
CI Gas I'i Elect l;l PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Disposal Drink Ftn Catch Basin
Dishwasher Wait. St, Wash Ftn
Sump Pump Ice Chest Urinal
Ejector/Grind Exam Sink Gar Drain
Water Softner Seulry Sink Soda Disp
Local Waste Hand Sink Coffee Maker
Clothes Wshr F Prep Sink Comm. Ice Maker
Bidel Serv Sink Site Drain
Beer Tap Int Grease Trap Roof Drain
Classrm Sink Ext Grease Trap Stand Rec
P
Surgeons Sink R.P.Z. Valve Eye Wash Stn
Breakrm Sink Shamp Sink WtrSewerMtrs
Dip Well FldWst Sink Deduct Meters
Hose Bibs W tr Usage Mtrs
~~ ~~;~C.}2,1C
OR [Electric Installation Verification form attached
(IfRcplacement)
Use /Nature of Work ~~!~1e,t1^. 4 ~, b'~ ~xP ,~
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Ia1001/001
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