HomeMy WebLinkAbout0104632-Plumbing (laundry room)OSHKOSH
ON THE WATER
.lob Address 1013 EVANS ST
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner VICTORIA L BELTRAN
Category 410 - Residential-Interior
No 104632
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 0 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 1 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 1 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/Convert bedroom into laundry room and install a hand wash faucet in the kitchen.
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 $1,695.00 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 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.
. ,. Froa: ]0/03/2003 ]4:09 P.O02
Ciu of Oshkosh
Inspection Scrvlces Division
P 0 Box 1130
Oshkosh, WI $4903-1130
Phone: (9120) 236.$050
Fax: (920) 236-5084
Plumbing Permit Application
I hereby apply for a permit to do and install the followinl plumbing on the premises hereinafter described, the work to conform to ~l'.e
Wisconsin State Plumbing Code, in the performance of which all perOos h~eto agree to and are.bound by said statutes.
Application(s) and fee(s) can be brought to City Hall, ROom 205 or mailed to Inspection S~rvices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will r~sult in fees b~ing doubled or $100.00 plus the
normal pcrrmt fcc, which ever is g~eater.
OR
ff vou are a contractor ~artfcir~arine tn the Permit Fee .4eeo,at SYstem an~ have ados,ate funds, che~k ~la;.
ff vou want this processed tArouR~ your acaount ~
Ow,er ~o-~ ~'./~r/~//.r/,~ 'Contractor
~ingle Family ]-"}Duplex [~lulti-Family ~-'JRental [~]Commercial ' Dlndusrrial
Number of Fixtures:
~irlp~ ~I ~p Well ~r~st Sink
~vat~ Dishw~ ~ak Fm ~ Cash
Toil~ .~ $u~ PU~ ......... Wait. SC ~ Wash Fm
Re~ Siak ~ ~tml~ lee ~h~t U~al
D Gal ~ E~ct D P~Vnt ~ ~i~ Wshr ~,, ,,,, Ha~ Sl~k Caffee Mak~
ElecIHc Con.actor ~a Z~c~. ~ ~i ~Ei~tric Ins~lhflon" ~'~
venn~tmn form attached
Use/Nature of Work
Sanitary Sawer
Storm Sewer
Water Service
Size Material Type # Coun.