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HomeMy WebLinkAbout0106113-PlumbingCITY OF OSHKOSH 106113 No OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address1014 ARTHUR AVEOwnerBARBARA J BRADLEYCreate Date01/20/2004 ContractorPLUMB-RITE PLUMBING LLCCategoryPlan 410 - Residential-Interior Bathtub1Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0 Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00 Soda Disp Lavatory20Local Waste0Wait. St.0Shamp Sink00 Lndry TrayCoffee Maker Toilet10Clothes Wshr1Ice Chest0Flr/Wst Sink0 0 Lndry Stndp Int Grease Trap Res. Sink10Bidet0Exam 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 SFR/ Replace fixtures, and replace galvanized water pipe in basement. of Work SizeMaterialType#Conn. Type Sanitary Sewer0 0 0 0 0 Storm Sewer0 0 0 0 0 Water Service0 0 0 0 Parcel Id # 0 1607770000 $0.00Permit Voided Valuation$5,500.00Plan ApprovalPermit Fees$42.00 Issued ByDate01/20/2004 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 AddressW9055 CTY RD ASOAKFIELDWI53065-0000Telephone Numberhome 583-2379 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing Permit Application 01HKOlH ON THE WATER I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto 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 Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor DarticinatinQ in the Permit Fee Account System and have adequate funds check here !f you want this processed through your account n 1' J Job Addresses Q ~ ~ ~vth~ r .Q v-e Vallle (Including labor and materials) S-S~~ y Date / ZU d7 Owner ~~~a ~i~J ~~ ~ Contractor ~~.-~-~I~,'k-~«i~s (. C L Single Family QDuplex QMulti-Family Rental ^Commercial QIndustrial Number of Fixtures: Bathtub ~ Lndry Standp Whirlpool Disposal Lavatory ~ Dishwasher Toilet ~ Sump Pump Res. Sink ~_ Ejector/Grind Bar Sink Water Softner Water Heater Local Waste ^ Gas O Elect ^ PwrVnt Clothes Wshr Shower Bidet Floor Drain Beer Tap Lndry Tray Classrm Sink Lab Sink Surgeons Sink Plaster Sink Breakrm Sink Sterilizer Dent. Oyer. Shame Sink Dip Well Flr/Wst Sink Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp ~_ Hand Sink Coffee Maker F Prep Sink Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Electric Contractor OR Electric Installation Verification form attached (If Replacement) Use /Nature of Work-; 1f~t,re ~es(ACec~ .,~- ~d~~Hce (~A~u t~.(ae ~~ 1~~~Qr-~- Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 7/03 Job Address 1014 ARTHUR AVE I Owner BARBARA J BRADLEY ` 'egory 410 -Residential-Interior oathtub 1 Shower Whirlpool 0 Floor Drain Lavatory 2 Lndry Tray Toilet 1 Lndry Stndp Res. Sink 1 Disposal Bar Sink 0 Dishwasher Water Heater 0 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink Use/Nature of Work Plumbing Permit Work Card Permit Number 106113 Contractor PLUMB-RITE PLUMBING LLC Plan Create Date 01/20/2004 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Clothes Wshr 1 Ice Chest 0 FIr/Wst Sink 0 Bidet 0 Exam Sink 0 Catch Basin 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Sterilizer 0 Surgeons Sink 0 Ice Maker Value $5,500.00 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Grease Trap 0 0 0 0 0 VFW Replace fixtures, and replace galvanized water pipe in basement. Size Material Type # Conn.Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service p 0 0 0 0 Date Type Inspector uatei i ime requested: Access: Notice Type: Telephone Number: Ready Datemme: Requested By: Reinspect Fee ~ Fee Waived ~ Reinspect Fee Paid g~~_~ ~