HomeMy WebLinkAbout0100196 POSHKOSH
ON THE WATER
.lob Address 1717 TAFT AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FAIRWAY APARTMENTS LLC
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 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 0
No 100196
Create Date 03/14/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature MULTI-FAMILY/BLDG F/Install a gas water heater. *EIV form from Precision Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$4,200.00 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 03/14/2003
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
Fro : 03/]3/2003 11:29 #]67 P.O02
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
Oh~ THF v4ATER
Plumbing Permit Application
hereby apply for a permit to do and install the following plumbing on the pres/sea hereinafter described, the work to conform m the
Wisconsin $:ate Plumbing Code,/n the performance of which alt panes hereto agree to and are bound by said statutes.
· Application(s) and fee(s) c~m 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If uou are a contractor partieiflat~ng in the Permit Ieee ~4¢coun~. SYstem and hay,¢ adequate (unds~ .check here
i_f vqu want__this w'ocessed throueh your account ~
3ob Address ,,/,7/~;~'/~a~(-'~'. ~- Yalue~l~¢loding labor aha nat~rlals)
Owner :~~"'"}_,~,-..~~ Contractor ~"~.~5f~--~_~ ./~.~_~,~.~,~,.~.
"~ ........ fi' ..... [~Industrial
{--]Single Family {"']Oaplex .,,.~Vlu Ri-Family {--]Rental {--{Commercial
Number of Fixtures:
Bathtub Lndry S~ndp Dent. Oper. Shamp Sink
W'hidpoo! .... DispoSal Dip Well ~ FirtWst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toile~ Su~ Pu~ Wait, St. Wash Fm
R~. Sink ~eclor/~n~ Icc ~esl Urinal
Wat~ Ueatcr ~ ~' L~ai Waste $cul~ Sink Sada Oisp
~ ~ Elgt E ~t Clethes Wshr Hah6 Sink Coff~ Maker
Shower Bidet F Pt~ Si'ilk lee Maker
Floor ~aJn g~ Tap Scm Sink ~ Si~e Drain
Lnd~ T~y CIass~ Sink Iht Or.se Trap Roof ~in
~b Sink Surseons Sink Ext Grease Trap . St~ Rec
PIa~:~ Sink Br~ Sick ~
Stcr{liz~
Electric Contractor
O~R ~Eleetric Installation Veriflcati6n form attached
(If Replacement)
Use I Nature of Work,
Samtary Sewex
Size
Material Type # Conn. Type
Storm Se,war
Water Service
~/o2
From:
08/]8/2008
9Z0757iG3~
11:29 #167 P,003
P2
Electric Installation Verification
(BIe~;c~l Con, razor Name) '
(Ad--ess) (Ci~) (S~te) (Zip
have be~ ~n~act~ to pe~ ei~c ~st~adon wo~ fro, ~A ~ ~ ~i ~ ~
~e oI p~ eon~et~ to)
~c na~e of~e work co~is~ of; (Ch~k ~e or Describe ~ N~ of Work)
R~co~Qon or new c~t f~ ~l~em~t Heat~g Pl~t ~or ~C Cond~.
h~dng fi~ ~c to sing / so~fi~atiom Ho~: Nvw $~ice En~
Oth~
The value ofth/s work is $'
hereby vcri~y ~his work will be p~rforrned by ~ ~plo~e offs ~mp~y ~d ~cr vcg~ th=
r~ccfion / inst~l~ion will ~ ddno in ~mpli~ce wi~ ~u~ ~d ~l~c ~d~
requi~c~Is.
Name
(Date)