HomeMy WebLinkAbout0107610-Plumbing
CITY OF OSHKOSH
No
107610
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address1228 W 9TH AVEOwnerCreate Date04/21/2004
PAUL W BROWN
ContractorHOMEOWNERCategory410 - Residential-InteriorPlan
Bathtub1Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Soda Disp0
Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink0
Coffee Maker0
Lavatory0Lndry Tray0Local Waste0Wait. St.0Shamp Sink0
Int GreaseTrap0
Toilet1Lndry Stndp0Clothes Wshr0Ice Chest0Flr/Wst Sink0
Ext Grease Trap0
Res. Sink1Disposal0Bidet0Exam Sink0Catch Basin0
RPZ Valve0
Bar Sink0Dishwasher00Wash Ftn0
Beer Tap0Sculry Sink
Water Heater0Sump Pump00Urinal0
Dent. Oper.0Hand SinkEye Wash Statn0
Site Drain0Classrm Sink00Standp Rec0
Lab Sink0Plaster Sink
Roof Drain0Breakrm Sink00Ice Maker0
Sterilizer0Surgeons Sink
SFR/ Bathroom Remodel - replace fixtures - existing DWV and water supply to be re-used.
Use/Nature
of Work
SizeMaterialType#Conn. Type
Storm Water0
0
0
0
Parcel Id #
0
0606800000
Permit Voided
Valuation$600.00Plan Approval$0.00Permit Fees$21.00
Issued ByDate04/21/2004
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
Address1228 W 9TH AVEOSHKOSHWI-6265Telephone Number
54902
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.
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.