HomeMy WebLinkAbout0101635 POSHKOSH
ON THE WATER
.lob Address 1703 OAK 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 ANDREW S/MERIDI JAEGER
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 101635
Create Date 05/20/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$499.00 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 05/20/2003
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
" rom: 05/20/2003 08:14 #451P.OCr2/O02
catT or' Oshkosh
inspection Services Division
P O Box 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-$050
;Fax: (920) 236-5084
QfHKO./H
Plumbing Permit APplication
hereby apply for a p=rmit to cio and imtall the followin$ plumbin$ on [h~ pre.scs h~einaft~ described, ~ work m co~o~ ~o the
Wisconsin State Pl~bint Code, ~ ~e perfo~nce ofw~ch all p~es. hereto a~ee to aM arc bound by said stamt¢s,
Application(s) and fee(s) can be brought to Ci~ Hall, ~oom 205 or mailed to ~spec~on Se~ices, PO Box 11i~,
Oshkosh WI 54903-1128. Co~encint work without pe~it(s) will result in fees bein~ doubled or $100.00 plus the
noel pe~it fee, which ever is ~eat~,
OR
l[you are a contractor participating in the.~ermlr Fee Account Svslem an,~ bare ad~ouate funds, check here
you ~ant tht$ ~ro_~ss~d..thtog~h your account ~
Job Address ,/';;~ a~'~ ,~,~"/
Ow,, r
~,~ingle Family ~Duplex
Contractor
[--]Multi-Family [-'[Rental [~Commercial [~]lndustrial
Number of Fixtures:
Bathtub Lndr~
Whiflpoo! Disposal
L-,vatory Dishwasher
~c~. Sink
Bar Si~k Wn~ Sofmer
s G Elec~ ~ P~Vnt Cloth~ Wshr
Lnd~ T~y
~b Sink Surgeons Sink
Plast~ Sink ~ Sink
5tcdliz~
Electric Contractor
Use / Nature of Work
O~i. Op~-. . , Shamp Sink
Dip Well .~ Fir/Wa! Sink
Drink Fin Cst-h l~sln
Wait. SI. Wash Fm
Icc Chest U~n~
E~m Sink Oar Drain
F ~ Si~k Ice Mak~
$e~ Sink Sim ~ain
'Iht O~ase Trap R~t ~in
Ext Orease T~p S~ndp Rec
['-]Electric Installation VerlficatiEn form attachet
(If R~la¢~ra~nt)
Sanitary Sewer
Storm Sc.Wcr
Size
Material
Type
Com. Type
Waz~r Service
~rom:
05120/2003 08:14 #451P.O01/O02
Pages Cw/cover): _~,, _
Our Phone: 920-733-8125
Our Fax: 920-733-2713
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