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Home My WebLink About0139546-Plumbing (bathroom remodel) � CITY OF OSHKOSH No 139546 O OSHKOSH PLUMBING PERMIT -APPLICATION AND RECOR �2��q ON THE WATER Job Address 1451 MARICOPA DR Owner TATE FAMILY TRUST ate 01/20/2010 Contractor WATTERS PLUMBING Category 412-Res-Interior(New/Relocated Fixtures) Plan Bathtub 1 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory 2 San Sump/Pump FIrIWst Sink Bidet Site Drain Misc. Toilet 1 Water Softner Hand Sink Urinal Wait.St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Serv Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use/Nature FR/Bathroom remodel. **debit acct of Work ; i � � ,I Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1317630000 Valuation $2,000.00 Plan Approval $0.00 Permit Fees $28.00 ❑ Permit Voided j Issued By C�,%Y)'(/.� Date 01/20/2010 ; 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 AgenUOwner Address PO BOX 118 MENASHA WI 54952 -0118 Telephone Number 920-733-8125 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. 1/19/2010 TUE 15: 21 FAX 920 733 2713 WATTERS PLUMBING �001/001 City oCOshkosl� Iiupection Services Divisiou � I.'O Box 1130 � Osl�kosl�,WI 54903-1 13U �IO�' Phoiie: (920)2:iC>-5050 r-�x:��o>�3c-sosa O HK01H ov rrtF vrnrer, Plumbing Permit Application I I�creUy apply for a permit to do and instxll the ti�llo�vin�phunbing on tl�e premises hereinafter descriUed,the work to conlorm to Qic Wisconsitt State Pltunbing Co<le,in tlie pei•lorni<iiice ot�whicl�all p.irlies l�creto a�ree to�nd are bound by said statutes. • Application(s)and fee(s) can be brou�.ht to Cify I-Iall,Room 2U5 or mliled to Inspertion Services,PO Box i 128,Ushkosh Wl 54903-1128. Conimencin��ork�vithoui permit(s)��ill resiil� in Pees bein�doubled or�100.00 phis the norni�l per►uit fee,�vl�ich ever is�renter. OR I ��ou are a CO1111'(7ClO/' Cll'/IC1 a�in in �he Yernii� %ec Accorrii� ,S'>>stem and hni�e adec t�nle �rnds check lrere i r•vri tirn�t! ll�is �rncessed !ln-or� h �nrir• accor�►�1 **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical Contractor or Homeowner(for iustaIlations allowed to be performed by the homeowner)must be subznitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completiou. Job Address Iy51 N1 �n�: 1��. Value��,�i��a��,��,��r,�,��»,��,;,�s> �� Date_ 1 1) `�I%D O �ner :�1 M �� Contractor i'� ��M�i� � 1 Single Family ❑Duplea ❑Nlulti-Family ❑Rcnt;�l ❑Commercial � ❑Lidustrial Ntunber of Fixtures: 13alhroh � Sump Yun�p Plas�cr Sink Koof I�min Sha��cr San.Su�up.n'ump Sculltry Sink Soda Dis�� \\+I�irlpool \��aier Soflcncr Scr��icc Si�tk C�(Tct Tdkr La�htory �� Standpipe Rcc Shnmp Siuk Sitc f)raii� Toilct � Gara�e FD Surgcons Sink \Vailrs Stn Kit Sink !_cxal\��s�c $ttrilizcr lcc Chcst Uisposnl fiar 5iuk RP'7_Valcc Comn�Icc Makcr Dish��aslicr l3rcaknu Sink Hidet 1n1 Grc�sc l'rnp 1=1�x�r D�pin ('I:ISS1711 SIIII� Urinal �sl Gressc'l�rnp llosc 13ibU Ii�nm Sink Httr Tnp Lye\V�sl�Slu �Valcr Iicaicr P Yrep Sink 1)ipp��r\1'cll lleduc�Vtetcr _.G1x_.Iilcct-P��TVnt Floor Sink Urink Pnhi `V�r$c�ccr Mlr Clulhes\�slrc Hand Sink �V1sh Fnln \'1�Ir lluige Vllr I..ndry'l�rn)' [.ab Sink Catcl�13nsin �•(isc l�i�iiu•��v Electric Conh�actor(for projects not requiri�ig an EIV Form) �(' �.` �,�-�(_��(' , r Use/Nature of Wo�•k �G��((�aR� �LQ (1n p(��, � Size Mlteri�l 'I�ype # Conii.T��e Sanit<u•y Se�ver Storm Se4ver Waler Service ,:i�.��