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