HomeMy WebLinkAbout0101708 POSHKOSH
ON THE WATER
.lob Address 1625 NORTHPOINT ST
Contractor WATTERS PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RICHARD/DOROTHY GUNDERSON
Category 411 - Residential-Water Heaters
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoffner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101708
Create Date 05/22/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$540.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 05/22/2003
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: .... 05/22/2005 07:29 #495 P.O02
Ci~/of O~hkosh
Inspection Services Division
P 0 Box 1130
Oshkosh, WI 54903-1130
P~one: (~20) 235-5050
Fax: (920) 235.50g4
Plumbing Permit Application*
I hereby apply for a perrmt to do and in~tall the follow/ag plumb/ag on the premises her.einafter described, the work to conform [o the
Wiscomin'State Plumbing Code. in the pefl'onrance of which all part/es, hereto agree to and arc bound by said stamles,
· Application(s) anti tee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services,' PO Box 1 I28,
Oshkosh ~ 54903-1128. Commencing work w/thout perm/tis) will result m fees ,being doubled or $100.00 plus the
normal perrmt fee, which ever is greater.
OR
l_f you_pre a contractor participating in the Perm~.~ee ,4ccount $Fstem and have adeoFat_e_funds, check here
if you want this processed thro~u~h your account }Z! '
Job Addre,s Value (In¢l.di., labor and nl~terisls) Date~
Owner ,~/~/-~ce:~ o~'~.~..~'.~0-,3 Contractor
[~ingle Family [~Duplex ['-]Multi-Family ['-]Rental [--]Commercial [~Inclu.trial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Stnk
Whirlpool Disposal ,,, Dip Well FIr/Wst Sink
Lavatory Dishwasher Drink Ftn Cae:h Ela$i~
Toilet Sump Pump Wait. St. Wash Pm
Res. Sink ' Ej~todOrind Ice'Ches[ Urinal
l%r Sink Water Soft, ncr Exam Sink (}ar Drain
Water Heater t'/ Local Weave ....... Sculry Sink Soda Disp
,~C_m~ '~ l~lect D PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet ..... F Prep Si~k ..... let: Maker
FlOOr Drain Beer Tap Serv Sink . ~ Site D~atn
Lnd~T T~'ay Cla.~erm Sink lax Orease Trap ..... Roof Drain
Lab Sink Surseons Sink Ext Grease Trap Standp Rec
Plast~' Sink Bmakrm ~ink
Sterilizer
Electric Contractor
Use / Nature of Work
[==[Electri¢ installation Veriflcati6n form attached
(If Repla¢¢m=m)
Sanitary Sewer
Storm Sewer
Material Type # Conn. Type
Water Service
05/22/2003 07:28 #495 P.O0]
~u..m~ bin~
Pages (w/cover):
Our Phone:
920-733-8125
g20-733-2713
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