HomeMy WebLinkAbout0102469-Plumbing (sump pump)OSHKOSH
ON THE WATER
.lob Address 1335 MARICOPA DR
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 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LEN G/KATHLEEN BACKUS
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 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
1 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 102469
Create Date 06/27/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Install sump pit & pump.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$1,225.00 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 06/27/2003
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:
City of O¢~coSh
Inspection Services Division
? O Box I
Oshkosh, WI $4~03-11~0
Phone: (920) 236-5050
Fax: (920)
06/26/2003 12:50 ~40 P.O02
Plumbing Permit Application
I h~reby apply fol' a permit to do and install the following plumbing on thc premises hereinafter described, the work to cor~orm to the
Wisconsin State Plumbing Code in the !~erformance of which all parties hereto agree to and are bound by said
· Application(s) anti fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 12g, Commencing work without permit(s) will r~sult in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
~f you are O contractor participatine in the Permit Fee /lecount S%~$tern end ho~e adequate fu~ds, cl~eck her~
ff vou w~tlt this ~roce$$ed through your account _~
Job Address_/~'~7-~-.~'~'~c~' Value tln¢ludinglahorandmat~ak) t/~.25~ Date_~__~
'~Single Family [~Duplex [~Multi-Family ~-'JRental I=3commercial [-']Industrial
Number of Fixture~:
Bathtub Lnciry Sia~dp Ocm. Opm'
Whirlpool Disposal Di~ Well
Electric Contractor
Use / Nature of Work
0..~ [-]Electric Install&tion VerificatiOn form attachec
~Vazer S~'adce
Size Material
Type # Corm. TM~e