HomeMy WebLinkAbout0104636 POSHKOSH
ON THE WATER
.lob Address 403 W SOUTH PARKAVE
Contractor CULLIGAN
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner STEVEN L/NANCY LEATHERWOOD
Category 410 - Residential-Interior
No 104636
Create Date 10/07/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 1 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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
Use/Nature SFR/Installwater softener.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $300.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
10/07/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 405 PROSPECT AVE N FOND DU LAC WI 54937 - 1498 Telephone Number 235-1490
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
OCT. ?,~003 11:31AM ,
City of Os~o~
ln~peedon Set~c~ Divisioo
POB~t ]130
O~s~ WI $4903-] 130
P~: (920) 236.50~0
F~: (920) 236-~0~
CULLIGaN×MERMaID OSH'
',F~', ~0.730 P.1/1
Plumbing Permit-ApPlication
I hereby apply fbr a pcrmit to do end ~ ~ha ~ollowJng plumbing on the ~,*~e~;ses ~ dcson'bed, tho wor~ to conform to
Wtseo~in.Statc Plumbiag Code, in 1he pc~formaacc of whicl~all padles ht:stt~ u~cc to ~1 ~ imund by sai~ s~a~ui~s.
m Application(s) arid fcc(s) carl be brought to City Hall, 1TooM 20~ re'mailed to Inspccti0n Services, PO Box I liS,
Oshkosh WI 54903.1128, Commencing work without permit(s) will rcsult in fees being doubl~ or $100,00 plus the
normal permit fee, which ever is grcater. , , · ~..,.,,: .. , ,,
1£ you are a contrac~or_oo~'tfC, Drefftn~ in ttrt,'Perm~t:'~c~b"~'t"'~m~nn'~l~a~_adetluat~'£und~, c~teI_lc he~'e"
tf ¥ou want.this ~rocessed tArou~,lt your account ~
Family
[-]Duplex
[_lRe~tsl ,I ICommerc~nl nlndustrlal
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Number of l~rt~re$; ] ',: .,'-' ·,
l.a,~army __ Dlsl~wa~cr .DgdkFt ~ ~" : C~ch
Toilet Sump 1~ ~ ' ' Wait. Si. ', ' WssJt Fm
IRes. Sink ~jec~r/O~ind IceCh~ .
B~' Sink Waist' Soltr~r / 'Exam Si tk,""' ,, Oar Dmn
Water I-~aJer l,.~eai Waste 'SCU1~ ~ ~k': ..,. Sod~ I~
PIa~T~T Sink .... J~lu~ Sink .... '
attached
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Nature
of
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