HomeMy WebLinkAbout0100105 POSHKOSH
ON THE WATER
.lob Address 221 STERLING AVE
Contractor WATTERS PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARION SIBLEY
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoffner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100105
Create Date 03/07/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install a gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$499.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 03/07/2003
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:
CiW of O~hkosh
Inspection Services Division
? O Box 1130
Osl~osh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
03/05/2003
I4:28 ~48 P.O02
.O/HKO../H
Plumbing Permit Application
I her=by apply for a parrot to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin Sate Plumbing Code, in the performance of which all pa~es hereto agree to and are bound by said ~mmtes.
Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1 I28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $t00.00 plus the
normal permit fee, which ever is greater,
OR
If_you are a contractor participating in the Permit Fee Account System and have adequate funds, c.h.e, ck here
fl. You wpn~t thi~_m:o~e$$e_d.t, hroueh your a..ccount ~
Job Address ~,~./~'~z~v ~ V Blue ~'ln¢i,.,~i~r~ la~Or*.~ m~,~.~)
Owner ~~~~ Contractor
~ingle Family ~Duplex~' ~Muiti-Family ~Reotal
[-]Commercial [---]Ind~strial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper.
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink
Toilet Sump Pump Wait, St.
Res. Sink ~eclor/Orind I¢c Chest
Bat Sink Wallet SoRner Exim Sink
Water H~er ~ Local waste Scuiry Sink
,,)~'Oa{ I: 1~{ec! ~ Pan'Vat Clothes Wshr I-land Sink
Shower .... Bidet , F Pr~ Sink
Floor Drain B~r Tap Sm'v Sink
Lndry T~ay ..... Classn'n Sink iai Oreaae Trap
Lab Sink Surseons Sink Ext Grea~e Trap
P~$ter Sink Bre~kn'n Sink
$harn~ Sink ___
Flr/Wst Sink
Catch Basin
Wash Fm
Oar Drain
Soda Di~ ~
Coffee Mskar
ICe Make'
Site Drain
R~f Drain ___
S~andp Rea
Electric Contractor
Use / Nature of Work
San/mD' Sewer
Storm Sewer
Wa~er Serv/ce
[~Eiectric Installation VerificatiSn form attached
(If Replacement)
Size
Mal~ial
Type
# Conn. Type
3/02