HomeMy WebLinkAbout0100053 POSHKOSH
ON THE WATER
.lob .Address 65 JACOB AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GARRY H DECKER & CO LLC
Category 410 - Residential-Interior
Bathtub 2 Shower 0 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 100053
Create Date 02/11/2003
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 #
$4,962.00 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 03/05/2003
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
From: 03/04/2003 14:37 ~23 P.O01
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-$094
O../'I-tI(O_/'H
Plumbing Permit Application
I hereby apply for a permi! to do and install the following plttmbin$ on the premises hereinafter described, the work to conform to thc
Wisconsin .Stat= Plumbing Co.de, in the performance o£which all parties hereto agree to and are. bound by said statutes.
· Application(s) and fee(s) can be broughl to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh wi 54903-1128. Commencing work without permit(s) will n~sulI in fees being doubled or $100.00 plus the
normal pea'nh! fee, which ever is greater,
OR
/f vou are a contr.,actor laarticivattn~ In the Permit Fee~rqg,ount System and h~v,,¢ adequate funds, cheek here
i£vou w~.tI,t,,thi$ p~toc¢~$ed tbreuRh .your acceunt ~
Owner ~ 'Contractor ~ARg.',/ P~K~g-~ ~ Co.
[~Siugle Family E]Duplex L-']Muiti-Famfly ~Renta~ r-ICommercial [Y'llndustrial
Number of Fixtures:
Bathtub
Lave~ory
Toile~
B,~. SJ~k
Bar Sink
~ ~, Elect ,g Pv~Vnt
Shower
Floor Dl"~in J
~d~
Hast~ Sink
Electric Contractor
Use / Nature of Work
Lndr/Standp ~ Dcm. Oper. Shamp Sink
Disposal ~ Dip Well ~st Sink
Dishwasher f Dvil~k Fm _ Cnmh Basra
5u~ Pu~ ~ Wait. St, Wash Fm
Wa~ Softer ~am Sink Oar
~al Waste S¢u~ Sink S~
Ctoth~ W~ J : Hand Sink Coffee Mak~
Bidm F Pr~ Sink 1c¢ Mak~
Be~ Tap Se~ Sink Si~
C1~ Sink ~ let O~a~ Trap Ro~
~ut~eo~ Sink Ext O~se T~p Stan~ Rec
~n~ Sink
~Electric Installation Verlflcatien form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Mere'rial Type # Conn. TTpe
3102