HomeMy WebLinkAbout0106451-Plumbing (interior)CITY OF OSHKOSH
106451
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address3895 SHOREBIRD CTOwnerMIKE DAVIS CONSTRUCTIONCreate Date12/29/2003
ContractorCOMPLETE PLUMBING INCCategoryPlan
410 - Residential-Interior
Bathtub1Shower1Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool1Floor Drain1Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory51Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet40Clothes Wshr1Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink11Bidet0Exam Sink0Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink010Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
RPZ Valve0
Water Heater110Urinal0
Sump PumpDent. Oper.0Hand Sink
0
Eye Wash Statn
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker0
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature NSFR
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
$0.00Permit Voided
Valuation$11,150.00Plan ApprovalPermit Fees$140.00
Issued ByDate02/12/2004
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
Address1197 RACINE STMENASHAWI54952-0000Telephone Number920-720-5390
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.
FEB-12 -2004 08:368 FROM:
T0: 19202365084 P :1�2
Citypf Oshkosh
l x Services Division
, 4
0 Bo
P
Oshkosh. WI WI549t)3 -1130
Phone- (920)236.5050
—
Tax :(920)236.5084
, et Mt■ WA
Plumbing Permit Application
I hereby apply Sara gnomic m do and ism the aslJowirg plumbing en the
Wisconsin State Plumbing Code, in the pedlar/ we ee of which all pis hereinafter deseta�od, toe brash said am form to the
pasties hereto gym to and are band by Bald stastees.
• App and fee(s) can be brought to City Hall. Room 201 or mailed to hoptcfon &m pp Bo 112g.
Oshkoeh WI 54903 -1128. Commencing work without pennit(s) will result in fees being doubled or $100.00
l
normal permrt fee, which ewer re greater. .00 plus the
OR
or rc o COhtracrpr zgrtirjegti . • ' t, ' Asir rs , vin e • , a e /
ttyovanctAisyrocesstd throw , r . ■: r
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Job Address 3 S Value (Weft tabor and nwsials : 1 i )30.°° Dac 442L.
Owner ' f1.14 Cetallaglic Contractor ` . —1Wssitit
$Single Family °Duplexr QMuiti- Family °Rental
000lriHlehCtRl [Industrial
Number of Fixtures!
esthnrb t,tdry saes ,___ Da. Opa.
s n r .°t -L-- Divers; Shiny sw
�_ Dist WeU NtYMp Sink
Lava y •5 Dishwasht _L_ Dane $t.
Tenet L. Cinch tr.
_ Stinks Pun w.tc SL WW1 stn
Rm. Sisk il leannsiGrine ___ Ica Chest
Dar sick Water Sonya, (kW —_
.-_ Sink Our Drain —
Male Heuer I 1 real Waste Scaly Sink
U Gus 3 Einct,taraHNt So/. Asp —
Shunts
_L_ Goths Water � Mad sink Coats %Mker Bidet Floe [Lain Rear Tap F Sisk tee Maker _
Se
Y Yrarr
Sew Sink Silt I�In
Chian, Sint kit Orme Trap —
Loh Sink Sink _. Naef Ursi.
Plaster %rtk Ens «east Trap Sumer Ws
Aresknis Sink
Electric Contractor DR [Eleetrie Installation Verificz 1
11 ►�placcment) � fuses attached
Use f Mature uree of Work
Size • '— —
Ssgi taty Sewer Type # Coon. Type
%Torts Sewer
1 Water Sewer c
3/02