HomeMy WebLinkAbout0096300-Plumbing (2 toilet & 1 landry tray) CITY OF OSHKOSH No 96300
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 931 MONROE ST Owner JAMES /JANICE SCHWERTFEGER Create Date 07/31/2002
Contractor WATTERS PLUMBING Category 410 - Residential - Interior Plan
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIrIWst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 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
Use /Nature SFR
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $1,080.00 Plan Approval $0.00 Permit Fees $20.00
Issued By IY\ Date 07/31/2002
❑ 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: 07/30/2002 13:02 #131 P.002
City of Oshkosh
® '
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084
oN H �-
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform w 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 54903 -1128. Commencing work without permits) will result in fees being doubled or 3100.00 plus the
normal permit fee, which ever is greater. .
OR
!f vougry a contresjor tzarricjgarine in the PQrmit ee account System and have adeouate funds. check here
if you want this processed through your account PT
Job Address �. P/ ..( Value (Including labor and materials) .4)4e22 Date 2-
Owner Ate rc� ' �4c, - era Contractor �77 -ss •►/ Ago
- ,§ingle Family DDuplex DMultiJamily DRental DCommercial ['Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shame Sink _
Whirlpool Disposal Dip Well Fir/Wat Sink
Lavatory Dishwasher Drink Ftn Catch Basin •
Toilet 1) v-- Sump Pump Wait. St Wash Ftn
Res. Sink Ejector/Grind tee Chest Urinal
Bar Sink Water Sooner Exam Sink Gar Drain
Water Hater Local Waste — Sculry Sink Soda Diu
C Gas G Elect ?wrVnt Clothes Wshr Hand Sink Cake Make'
Shower Bidet F Prep Sink Ice Maker
Floor Drain Bear Tap Sew Sink Site Drain
Landry Tray Claurm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext.Grease Trap Sandy Rec '
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor Q& ❑Electric Installation Verification form attached
. (lf Replacement) .
•
Use / Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
•
• Storm Sewer
Water Service
a /02