HomeMy WebLinkAbout0101939-Plumbing (laundry tray)OSHKOSH
ON THE WATER
.lob Address 2725 C HAVENWOOD DR
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner ROBERT N/MARY J GARBE
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 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 0
No 101939
Create Date 06/04/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature CONDO/Install laundry tray.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$875.00 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 06~04/2003
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
Erom:
Ci~y of oshkosh
Inspection Services Divisian
P 0 Box 1130
Oshkosh, WI $4903-1130
Phon~: (920) 236-5050
Fax: (920) 236-508~
06/03/ 3 15:5] P.002
.. Plumbing Permit Application
I hereby apply for a permit to do and ins~ll the following plumbing aa the premises hereinafter described, thc work to conform to
Wisconsin State Plumbing Co&, in the peffon'aance of which al! pa~des hereto a~ee to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or m~iled to Inspection Services, PO Box 1 I28,
Oshkosh WI 54903-1128. Commencing work without p~rmit(s) will result in fees being doubled or $I00.00 plus the
normal pen'~jt fee, which ~er is 8reMer.
OR
If'you are a contraeeor part~eiaatin~ in the Per,nj~ Fee Accoun$,,S~,stem and have adequat~ £und& check her~
if yurt want thiq p~'¢cesxed through your acco.at
Job Address ~.~'""c' /,~',.,,3,e~;,~.Value (lneludlnglatmranama[enala) ~',~',~'r.~O Date ~.~,3
Owner /t.,~, ;~'/3"q'"t-egv,~ Contractor ~,x~.~ 7~'.~,"r-~"
Number of Fixtures:
Bathtub
R~. Sink
~ Oas G Elect D pwrVm
· ~ct~;/cJnnd lee Che~!
Electric Contractor
O'R [~Electric Installation VerificatiOn form attach~
(If P. epl~tcement)
Use / Nature utr Work
.Storm .s&wer
Water Smwice
Size
Material Type # Conn. Type