HomeMy WebLinkAbout0101664-Plumbing (interior)OSHKOSH
ON THE WATER
.lob Address 80 JACOB AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GARRY DECKER & CO. LLC
Category 410 - Residential-Interior
Bathtub 1 Shower 1 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 2 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 2 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 101664
Create Date 05/02/2003
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 #
$4,962.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$84.00
Date 05/21/2003
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
from:
05/21/2003 09:39//479 P.O0]
City of Os~osl~
Inspection Services Division
P OB ox I130
Oshkosh, WI $490t-1130
Phone: (920) 236-$050
Fax; (920) 236-5084
CYHKO/H
'Plumbing Permit Application
I hereby apply for a p~rmit to do and instil the following plumbing on the promises h~'cinaftcr described, the work to conform to the
Wisconsin ~tate Plumbi~g Code, in the performance of which all parties hereto agree to and arc hotrod by said statutes.
· Application(s) and f~(s) can be brought to Cily Hall, Room 205 or mailcd to Inspection Services, PO Box 1128,
Oshkosh WI $4903-1128. Commencing work withou! permit(s) will result in ices being doubled or $100.00 plus thc
normal permit fee, which ever is ~reater.
OR
[F vou are a contracto.r~artic~vaHne in r~e ~.~rrnit Fe~e,,Account System and have adea~ate funds, ch~ck her~
if you want this t~rocessed tltrougt~ your ac.~ou_nt ~ '-
Job Address c~0 ,.,.j~("'~b'~ t~. V~. Value o.=l.ii.~ Ib.-..d a,.,.i.1,) ~ 4~ ~
Owner g~)( ~ 'Con.actor
'~Single Fa~ly ~Duplex ~ulti-Family ~Rentai ~Commercial
~='llndustrial
Number of Fixturesi
Toilct '~ Su~ Pu~ J Wait. SL
~. Sink J ~jecmrlGfind ~e Ch~t
Sink Wat~ So~er Exam Sink
Wal~ Hea~ (' ~I Wjs~ Scul~ Sink
~ ~ ~t ~ ~Vnt C~thes Wshr ~ Ha~ Si~k
Shower -- J 8ide~ F Pr~ Sink
~r ~in J
B~ Tap S~ Sink
~d~ Troy ~, ~ S~k iht Gr~e T~p
Sink S~e~ Sink Ext O~ze Trap
Plas~ Sink ~ Bma~ Sink
Electric Contractor
Shamp Sink
Flr/Wst Sink
Catch Basin
wash Fm
Urinal
(}ar Drain
leda Di~p
Coffee Maker
Ice Maker
Site Drain
RoofDmln
S~dp
["']Electric Installation Verificati6n form attached
(If Rapl~eram~t)
Use / Nature of Work
StOrm Sewe~
Water Service
$iz~ Material Type