HomeMy WebLinkAbout0132783-Plumbing (bath remodel)OSHKOSH
ON THE WATER
Job Address 1918 W LINWOOD AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner AARON F/TINA M FABIANO
Contractor WATTERS PLUMBING
No 132783
Create Date 09/10/2008
Plan
Category 410 -Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
1 Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIrIWst Sink
1 Lndry Tray Clothes Wshr Exam Sink Catch Basin
1 Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap __ _ _
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation $3,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By ('~ Date 09/10/2008
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
Address PO BOX 118
Agent/Owner
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.
/09/2008 TUE 11:36 FAX 920 733 2713 WATTERS PLUDSBING
City of Oshkosh ~ ~ ~ O.~
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
Plumbing Permit Application
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1 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 ]nailed to Tnspection 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
Job Address ' ~ ~ `~" • ~~nt1,~~ ~~t,Value (Including labor and materials) J, VV~J Date I ~ 1 ~ 0
Owner 1~1wt~~ I ~;~t~ {~~blc;,~a Contractor ~~,YJ~~(~S ~~JtM~o-~LG;~_ ~.~IC.,
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Single Family ^Duplex ^Multi-Family ^Rental ^Commereial ^Industrial
Number of Fixtures:
Bathtub t Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait. St. Wash Ftn
Lavatory ( Sump Pump Ice Chest Urinal
Toilet _~ Ejector/Grind Exam Sink Gar Drain
Res. Sink Watcr Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker
I) Gas C.i Elcct L7 PwrVnt Bidet Serv Sink Site Drain
Shower Beer Ta
p
]nt Grease Trap
Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn
Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Wolf Flr/Wst Sink Deduct Meters
Sterilizer Hose Bibs
Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor ( {' OR ^Electric Installation Verification form attached
(If Replacement)
n ~
~
Use /Nature of Work ~~~ '
,
Y\-el'VI Q(R>t..~,
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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