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Home My WebLink About0103366 POSHKOSH ON THE WATER ,Job Address 406 W SOUTH PARKAVE Contractor FARMERS SUPPLY CO CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner KENNETH/SUSAN HAIDLINGER Category 410 - Residential-Interior No 103366 Create Date 08/07/2003 Plan Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature DUPLEX/RENTAL/Install second water meter. of Work Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $350.00 Plan Approval $0.00 Permit Fees $20.00 J~ Permit Voided Issued By Date 08/07/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 34W 7TH AVE OSHKOSH WI 54902 - 0000 Telephone Number 235-6970 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. (~ CITY OF OSHKOSH No 103366 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 406 W SOUTH PARK AVE Owner KENNETH/SUSAN HAIDLINGER Create Date 08/07/2003 Contractor FARMERS SUPPLY CO Category 410- Residential-Interior Plan Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/~Nst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext GreaseTrap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 Site Drain 0 Ctassrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature of Work rDUPLF-.YJ RENTAL/install second water meter. Valuation $350.00 ,esued ¥r Sanitary Sewer Storm Sewer Water Service PtanApproval Size Material Type # $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 $20.00 [] Permit Voided Date 08/07/2003 In the pefformanco of this work, I agree to perform all work pursuant to m~les_.~.govemingthe described construction. Signature~)~ (~ ~,/~__ ~.~~ ~ Date ~ - / % AgenU~wner F Address 34 W ~H AVE OSHKOSH WI ~g02 - 0000 Telephone Number 23~6970 To schedule inspections please call the Inspection Request line at 236-5'128 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903~1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/HKO/H Plumbing Permit Application I hereby apply for a pert/fit 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 participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account ~ Owner ~ 't-,lc~tfOhi^r'~rx. . "l Contractor )~>~r~ .... . -I'/~, y f--]Single Family CDuplex [~Multi-Family [~]Rental [~Commercial ~lln4ustrial Number of Fixtures: Bathtub Ih~dry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory Dishwasher Drink Fen Catch Basin Toilet Sump Pump Wait. St. Wash Fta Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Sofmer Exam Sink Gar Drain Water Heater Local Waste Sculty Sink Soda Disp [3 Gas [] Elect [~ pwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Classrm Sink Iht Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink R.P.Z. Valve Eye Wash Sm Sterilizer Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Water Service OR [--]Electric Installation Verification form attached _.~ ~t~ (If Replacement) Size Material T~e # Co~.T~e 7/03