HomeMy WebLinkAbout0104706-PlumbingOSHKOSH
ON THE WATER
.lob Address 2961 BROMFIELD DR
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SCOTT A/TONI S SCHURRER
Category 410 - Residential-Interior
No 104706
Create Date 02/20/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 ClothesWshr 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 1 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/Plumbing work in association with remodeling the basement to create an office, rec room, 1/2 bath and utility
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 $485.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date 10/09/2003
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 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
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.
From:
]0709/2003 ]4:52 #429 P,O02
Civ/of Osl~osh
Inspection ,%zvice~ Di~i~io~
Os~os~ WI ~4~03-t 130
P~e: (920) 23~0~0
Fax: (920) 23~50~4
Plumbing Permit Application
hereby apply for a p~:ait to do and install the following plumbing on the p~mlses h~r~inaf~er described, the work to conform to
Wisconsin State Plumbing Code, ia the performance of which all parties her~Io agree to and are b0tmd by said statutes.
Application(s) and fe=(s) can be brought to City Ilall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI $4903-1128. Commencing work without penmt(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
[~iogle Family [~Duplex [--}Multi-Family [-']Rental ~]Commercial ~-'lludnswial
Number of Fixtures:
Bathtub __ Llld~ S~ndp ~ DeeL Olaf. Sl~amp Si~
~va~ ~ Dip Well FIr~st
~es. Smk
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
O~ ]--~Electrlc Installation Verlflcatidn form attached
{If Replace,c~m)
SiZ~~l Type
# Conn. Type
~/o?