HomeMy WebLinkAbout0102004 POSHKOSH
ON THE WATER
.lob Address 55 JACOB AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GARRY DECKER & CO LLC
Category 410 - Residential-Interior
Bathtub 2 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 4 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 4 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 102004
Create Date 05/22/2003
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 #
$7,536.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$114.00
Date 06/05/2003
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
08/05/ 08 0 :84 1641 P.O01
City of Oshkosh
Inspec~on ~i~e~ Division
POBox 1130
Oshkosh, WI $4~03-1130
Phone: (920) 236-$050
Plumbing Permit Application
I hereby apply for a pemut to do and in,tall the following plumbmg on the premises hereinafter descn~oed, the work to conform to the
Wisco~in State Plumbing Code, in the performance of whict~ all panie~ hereto agree ~o and are, bound by said ~tat~tes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to hlspecUon Services, PO Box 1128,
~osh ~ ~903-1128. Coercing w~k ~thout ~t(s) ~lI ~sult ~ fees ~g doubled ~ $100.00 plus
no.al ~t fee, w~ch ev~ is ~eai~.
OR
If you are a contra~dor partici~atin~ in th~ ~ormit Fe~count Swrem and hove adeauate fund~, check
if Fou want t~is processed through your account ~
Owner DECI(ff 'Coan-seu)r "
· [~ingle Family [--IDuplex ['-lMuiti-Fnmily ['-IRenta! [-]Commercial
Date
[-]IndusWial
iVumber of Fixtures:
Whirlpool Dis~ {' Dip Wml}
· oikt ~ S~ ~ .... { Wail.
Sink J Ejc~/~ Ice ~t
Electric Contractor
O~ ' I--]Electric Installation Verifleati6n form attached
(ir P, epl~m~,t)
Use / Nature of Work
Ssni~ Sewer
Wasa' S~-viee
Siz~ Material Type # ·