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HomeMy WebLinkAbout0100582 P CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER JobAddress 2391 2395 PATRIOT LN Owner Contractor WATTERS PLUMBING Category 410 - Residential-Interior Bathtub 2 Shower 4 Ejector/Grind 0 DipWell 0 F Prep Sink Whirlpool 0 Floor Drain 2 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 8 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink Toilet 6 Lndry Stndp 0 CIothesWshr 2 Ice Chest 0 FIrNVst Sink Res. Sink 2 Disposal 2 Bidet 0 Exam Sink 0 Catch Basin Bar Sink 0 Dishwasher 2 Beer Tap 0 SculrySink 0 Wash Ftn Water Heater 2 Sump Pump 2 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 100582 Create Date 04/02/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature DUPLEX of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $11,364.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $204.00 Date 04/02~2003 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 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ECEIVED DF. PARTMF.. T OF C,© MU IYI ' DF. VELOPME T Plumbing Permit Application O/HKO/H ON THE WATER I 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'mailed'to Inspection Services, PO Box 1128, Oshkosh WI 5z~903-1128. 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 vou are a contractor participating in the Permit Fee Account System and have adequate _funds, check here (£you want this processed through Four account ~ Job Address ~.7 2 S- -. o03' ??../¢~._,/~,~'"./.2,,Value (Including labor and matefials) Owner /~..~,~:,./' ~.,,,,,.,/' ~.,~,~, ,¢ Contractor [--]Single Family F~]Duplex [--]Multi-Family [-']Rental F-]Commercial Date ~-]Industrial Number of Fixtures: Bathtub Z Lndry Standp Dent. Oper. Whirlpool Disposal '~ Dip Well Lavatory ~ ~7 Dishwasher *Z Drink Ftn Toilet ~ Sump Pump ~ Wait. St. Res. Sink ~_L Ejector/Grind Ice Chest Bar Sink Water Softner Exam Sink Water Heater °~ Local Waste Sculry Sink ~l~Gas [] Elect ,2 PwrVnt Clothes Wshr '2- Hand Sink Shower ~}t./ Bidet' F Prep Sink Floor Drain Beer Tap Sere Sink Lndry Tray Classrm Sink Iht Grease Trap Lab Sink Surgeons Sink Ext Grease Trap Plaster Sink Breakrm Sink Sterilizer Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec Electric Contractor Use / Nature of Work Sarfitary Sewer Storm Sewer Water Service F-~Electric Installation Verificatidn form attached (I£ Replacement) Size Material Type # Conn. Type 3/02