HomeMy WebLinkAbout0100194-PLUMBING (Water heater, tub, laundry)OSHKOSH
ON THE WATER
.lob Address 654 JACKSON ST
Contractor WATTERS PLUMBING
Bathtub 1 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 RHONDA J VANGYSEL
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
1 Local Waste 0 Wait. St. 0 ShampSink 0
1 CIothesWshr 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 100194
Create Date 03/10/2003
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 #
$1,150.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$24.00
Date 03/14/2003
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: 03/12/2003 15:56 #158 P.O02
City of O~hkosb
Inspection ~rvices Division
~ 0 Box 1130
Oshkosh, WI $4903-1130
Phone: (920) 236-5050
Fax: {920) 236-5084
O_fHKO/H
Plumbing Permit Application
hereby apply for a permit to do and install the following plumbing on the prem/ses hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, m ihe performance of which all panics hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box t I28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will resuh in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
l_f you are a contractor participating i. the Permit Fee dCcount System and have adequate funds, ch, q.ck here
if you want this ~roa,ssecl through ?our account ~'~
Job Address ~/..c-~~..~._;, ~. Value (*.=~.di.s ~a~or a.d ~,e~,,,) .... ~/ff't:,. ~
/
~ie Family E]Dnplex [--]Multi-Family [--]Re.t.l r-]Commercial
[-]Industrial
Number of Fixtures:
Bathtub ~ Lndry Standp J Dent_ Oper.
Whlrlp~l Disposal Dip Well
~v~tow Dishwasher Drink Fm
Toilet Sump Pu~ W3it. St.
Res, Sink ~ecmr/~nd Ice Che~t
Bar Sink Water So.er Exam Si~k
wat~ Heart ~' L~al Waste Scul~ Sink
~aS L EI~t D P~Vnt Clothes Wshr __ Hand Sink
Showor Bidet F Prep Sink
Flor ~ain B~r Tap Se~ Sink
Lnd~ Troy ~ .... Cla~s~ Sink Iht Grease Trap
P~sI~ Sink B~ Sink
Electric Contractor
Use / Nature of Work
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fm
Uti.a!
Gar Drain
Soda Disp
Coif= Maker
Ice Mik~
Site ~in
R~f Drai~
St~flp Roe
E]Electrlc Installation Verificati6n form attached
(It Replacemem)
Sanitary Sewer
Storm Sewer
Size
Ma~arial
Type
# .Conn, Type
Wa~er Service
3/02