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~~_~ ~