HomeMy WebLinkAbout0101015-PlumbingOSHKOSH
ON THE WATER
.lob Address 2580 HEARTHSTONE DR
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TEMPO DEVELOPMENTS
Category 410 - Residential-Interior
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 1 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 5 Lndry Tray 1 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 Lndry Stndp 0 CIothesWshr 1 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 1 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 1
No 101015
Create Date 03/21/2003
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 #
$10,267.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$114.00
Date 04/25/2003
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
Frc : 04/28/2008 18:05 P.O01
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 2t6-$050
Fax: (920) 236-$084
QJ1-KQ/H
ON ?i.4[~ WATER.
Plumbing Permit Application
I hereby apply tot a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to thc
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are. hound by said statutes.
· Application(s) and fe=(s) can be brought lo City Hall, Room 205 or mailed to Inspection StTvices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will r~suit in fees being doubled or $100.00 plus thc
normal permit fcc, which cvcr is greater.
OR
If you are a contractor partlcipatini~ in t. he Permit Fee ~,c'~count SvsreqL.and have adeguate fuFd~, check _hqre
if volt. wqnt.thJ~ processed through.your account ~
[~ngle Family ['"]Duplex i-]Multi-Family [--]Rental [--]Co~ercial
[~]lndustrlal
Number of Fimres:
Toilet ~ Sump Po~ ] Wait. St.
Bar S~nk Wa~ So,er E~m Sink
W~aH~t~ [ ~al W~ Scul~ Sink
s D ~ D ~Vflt Cloth~ WA~ 1' ' H~ Sink
Sho~r ~ Bidet F P~
Flor ~in ~ Be~ Tip Se~ Sink
P~s~ Sink B~ Sink
Electric Contractor
Use / Nature of Work
s~m~ Sink
FIr/War $ittk
Cash Basin
Wash Ftn
Urinal
~r
Soda Di~
Co~ Mak~
i~ Mak~
Site ~m
['-}Electric Installation Verificati6n form attached
(If R~lact-n~nt)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
c'd:a