HomeMy WebLinkAbout0104156 POSHKOSH
ON THE WATER
.lob Address 202 W MELVIN AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARK D SACHARSKI
Category 410 - Residential-Interior
No 104156
Create Date 09/15/2003
Plan
Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 1 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst 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 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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/RENTAL
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 $2,400.00 Plan Approval $0.00 Permit Fees $24.00 ~ Permit Voided
Issued By
Date 09/15/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
From: 09/12/2003 14:30//190 P.01:)2/002
Ci~ of Oshkosh
InSpection Services Division
P 0 Box ! 130
Oshkosh, WI 54~03-! 130
Phone: (920) 236-$050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a para'at to do and install the following plumbing on the premises hereinafter described, ~he work to conform to Ibc
Wisconsin State Plumbin~ Codc, in d~c performance of which all parties hereto agree to and a~e. bouad by said sum:es.
Application{s) and £ee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 I28. Commencing work withoui permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which cver is greater.
O1~
If vo~ tt~ o contractor oarti~lvttlia~ in ~he Permit Fee Account Sv.¢~e~n and ~a~e adeauate £und~, ~];eck ~¢re
lf vou want t~i~ ~rocex~ed tl~ro~$k your ac,count ~
JobAddres$ ~,Ta,~ ~,.J. //-~'Z~'/~O Value(~;ludi.~l~bor~dma~rla~ ~.~ Date ~
~ner ~x~ ~/~g~'/ 'Contractor ~x ~~
~Single Family ~Duplex ~Mulg-FamHy ~enml ~Commer~al ~ndus~iai
Number of Fixtures:
Electric Contraetor
Use / Nature of Work
Sanitary Sewer Size'
Sto~ Sewer
Water Service
Ce~te Make:
Roof D~in
Standp Rec
~lectric Instail&tion VerificatiOn form attached
(If Repia~eraeat)
Material