HomeMy WebLinkAbout0099916 POSHKOSH
ON THE WATER
.lob Address 70 JACOB AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GARRY H DECKER & CO LLC
Category 410 - Residential-Interior
Bathtub 1 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 2 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 2 Lndry Stndp 0 CIothesWshr 1 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
No 99916
Create Date 12/31/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$6,269.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$84.00
Date 02/24/2003
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
02/20/200S 16:02 #~79 P.O01
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130 ~/~_.'~ ~
Phone: (920) 2t6-$050 ,.~'~,~ / .
Fax: (920) 236-5084 .
Plumbing Permit Application
I hereby apply for a permit to do and iristall ~he following plumbing on ~he premises hereinafter described, the work to cor~orm to the
Wisconsin .State Plumbing code, in r. hz performance of which all ptrties hereto a~l-~e to and are.bound by said statutes.
· Application(s) and fee(s) call be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Conlm~cing work without permit(s) will resul! in fees being doubled or $100.00 plus the
normal permit fee, which ever is ~'ea~,r.
If you ar~ a cont~.aC, tOr particit~atinE in the Perm(~ Fee /j, ccount System and have ~dequate funds, check he_re
ff you want this processed thr~u~,h ~our acao~l~t [~J
' 1~
Job Address "10_ '~'/~ ~'. A~/D' value t~--~.,~.s~.~o--.d
Owoer ~..~t~,tZ'-/ 0 f:LKE:~ __ 'Contractor (,..~F~I~ ~'j OE~..~ .---
[~nsle Family ['=]Duplex I--]Multi-Family [~Rental [--]Commercial
[-]Industrial
Number of Fixtures:
Bllbiub [ ,. l~ds~ Smndp ~ Dent. Oper,
Whirlpool ~ Dis~l I ~p Well
~ _ ~ Oishwash~ ~ ~nk ~m
Toilcl ~ Su~ ?u~ ~ Wait. St. ~
B~ Sink Wat~ So~ Exam S~nk
Wa~er Heater [ " ~al Wute ~ul~ Sink
~ Gas ~ g~ct ~ p~vnt 00~ Wshr I ' Hand Sink
S~r ~ Bidet F Pr~ Sink
Flor ~in ~ ~ Tap _ ,. Se~ Sink
~d~ T~y Cl~s~ Sink ,, Ifil ~e Ting
~b Sink ~, $Urg~ns Sink , ,, Ext O~a~ ~p
Plaster Sink Br~ S~k
$ceriliz~
Electric Contractor
Use / Nature of Work
Shamp Sink
Fir/War Sink
Wash Fm
Uri~l
Gar ~in
s~ m~
Coff~
Icc Mak~
R~f ~in
S~n~ R~
[-'}Electric Installation VeriflcatiSn form attached
(If Replacement)
S anir~y Sewer
Storm Sewer
Water Service
Size Material
Type
# Corm. Type