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HomeMy WebLinkAbout0105102-Plumbing VOID VOID VOIDCITY OF OSHKOSH 105102 No V O I D OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address839 OSBORN AVEOwnerSUSAN E BABLERCreate Date11/03/2003 ContractorWATTERS PLUMBINGCategoryPlan 410 - Residential-Interior Bathtub1Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0 Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00 Soda Disp Lavatory10Local Waste0Wait. St.0Shamp Sink00 Lndry TrayCoffee Maker Toilet10Clothes Wshr0Ice Chest0Flr/Wst Sink0 0 Lndry Stndp Int Grease Trap Res. Sink00Bidet0Exam Sink0Catch Basin0 Disposal0 Ext Grease Trap Bar Sink000Wash Ftn0 Beer Tap0Sculry Sink Dishwasher RPZ Valve0 Water Heater000Urinal0 Sump PumpDent. Oper.0Hand Sink 0 Eye Wash Statn Site Drain000Standp Rec0 Classrm SinkLab Sink0Plaster Sink Roof Drain000Ice Maker0 Breakrm SinkSterilizer0Surgeons Sink Use/Nature UPDATE PIPING SERVING BATHROOM GROUP of Work SizeMaterialType#Conn. Type Sanitary Sewer0 0 0 0 0 Storm Sewer0 0 0 0 0 Water Service0 0 0 0 0 $0.00 üü Permit Voided Valuation$2,200.00Plan ApprovalPermit Fees$20.00Job Cancelled Issued ByDate11/03/2003 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. Date Signature Agent/Owner AddressPO BOX 118MENASHAWI54952-0118Telephone Number800-801-8125,733-8125 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. OSHKOSH ON THE WATER .lob Address 839 OSBORN AVE Contractor WATTERS PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner SUSAN E BABLER Category 410 - Residential-Interior No 105102 Create Date 11/03/2003 Plan Bathtub 1 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 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 1 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 UPDATE PIPING SERVING BATHROOM GROUP 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 $2,200.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 11/03/2003 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 PO BOX 118 MENASHA WI 54952 - 0118 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:IMATTERS t'LUIiIBiNO 920 733 2713 10130/2003 16:18 #13A P.002/0()2 Ciry of Oshkosh Inspection Services Division P O Box l 130 Oshkosh, WI 54903.1130 Phone: (920) 236-5050 . Fax: (920)236-5084 Plumbing Permit Application I hereby apply for a permit to do and irtcrall the following plumbing on the premises herainaRer described, the work to conform to the Wisconsin State Pltunbing Code, in the performance of which all parties hereto agree to and are.bot»ui by said stanltes. a Applicatiot7(s) and fee(s) can be brought to City Hall, Room ZOS or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) wilt result in fees being doubled or 5100.00 plus the normal permit fee, which ever is greater. OR I you are o n to in the Per cuant Svstem a pvB ade u u ds. check ! r u wa t this r e throw h r t Job Address ~~~ G~,~.v~ Valne (Inciuaing labor rnd m^terials) p`~i~Do. ~t = Date Owner clc.l•G' ~~tGtl~-t Contractor l.~/h~.C~+u ~.:~.*z~Jis~- ~SinEle Family Duplex Multi-Family ORental [Commercial Industrial Number of Fixtr>ires: Bathtub _ .~~ 1„ndry $tattdp Dmt. Oper. "„~ Shamp Sink Whirlpool Disptwal DiP Wl11 Ftdwst Sink Lvatory /. Dishwasher think Ftn Catch Bruin ~ Toilet Sutt4 Pump Wait. St. Wash Fm Res. Sink E,iet:torlGrind Ice Chest Urinrl Bar Sink Wate- S0lbter Eautn Stnk Oar Drain Wrur Hour l.oerl Waste Sculry Sink Soda Lisp Gas _~ Elect FwrVnt Clotho Wshr Hand Sink Coffee Mrker Shower Bidet F Prep Sink Jce Mrker floor Dram Beer Trp Serv Sink Site Drain' Lndry Tray Clarsrm Sink Int Crosse Trap Roof Drain Lab Sink Stttgeons Sink Fact Grease Trap Shndp Rec Plaster Sink Brntvm Sink Sterilizer //'`r -~i~iC GiwytJ ~~~ ~fT~ Electric Contractor OR ^Electrie Installation Verification form attached (If Replacement) Uee / Nature of Work Size Material ?ype # Conn. Type Sanitary Sewer Storm Sewer Water Service 3/02