HomeMy WebLinkAbout0105342-PlumbingOSHKOSH
ON THE WATER
.lob Address 257 W 18TH AVE
Contractor WATTERS PLUMBING
Bathtub 1 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 1 Lndry Tray 0
Toilet 1 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JASON A/KRISTIE MUGERAUER
Category 410 - Residential-Interior
No 105342
Create Date 07/16/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Replace fixtures and replace water & drain lines.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $2,100.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 11/17/2003
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.
Fro : ATTERS PLUI ING
920 733 2713
11/10/2003 14:40 P.092/002
C/~ of Oshkosh
ln~ec~/oa Services Division
POBox
Os~osh, WI 54~03-1
Phone: (g20) 23~5050
Fax: (910) 236-~084
Plumbing Permit Application
I hereby apply for a p~amt to do and install the following plumbing on thc premises hereinafter described, the work to conform to the
Wisconsin Stlu¢ Plumbing Code, in the performance of which all parries hereto a~l'ee to and are. bou~ld by said statutes,
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Sere/cea, PO Box 1128,
Oshkosh WI $4903-1128. Commencing work without permit(s) will result in fees being doubled or $100,00 plus the
normal permit fee, which ~ver is grcamr.
OR
~ou want this orOde$$ed through your account .~
gob Address ~-~'" 7/.~. /F'~'//~,~,~,~,~,~,~,~,~,-W, Value (lncludinElnbor and ma,eHals) ~//3~. ~O Date
Owner ,,-~7~v.~ ,,~.,~,..//~..~ 'Contractor /~,~,~ /~./~ '
[~Single Family [~uplex ['-]Multi-Family [~]Rental [--]Commercial ['-]Industrial
Number of Fixtures:
Bail,uS {/ Lnd~ Smndp Dent. Oper. Shamp Sink
Electric Contractor
Use / Nature of Work
Size
Sanitary Sewer
StotTn Sewer
Wa/er Service
~ ~-']Electric Installation Veriflcatlgn form attached
(I f Replacemetu)
Material Type # Corm, Type
3/02