HomeMy WebLinkAbout0108934-Plumbing[[1101,100,1565,159][12][B,,][Arial]]CITY OF OSHKOSH
[[2204,116,2330,161][9][B,,][Arial]]108934
[[2067,118,2117,163][9][B,,][Arial]]No
[[104,200,353,257][12][,,][Arial]]OSHKOSH [[731,200,1930,259][12][B,,][Arial]]PLUMBING PERMIT - APPLICATION AND RECORD
[[101,260,359,298][7][,,][Arial]]ON THE WATER
[[100,320,297,358][7][B,,][Arial]]Job Address [[334,320,565,358][7][,,][Arial]]3245 ISAAC LN [[1075,320,1176,358][7][B,,][Arial]]Owner [[1207,320,1504,358][7][,,][Arial]]GARRY H DECKER
[[1950,320,2131,358][7][B,,][Arial]]Create Date [[2175,320,2337,358][7][,,][Arial]]06/02/2004
[[100,395,268,433][7][B,,][Arial]]Contractor [[295,395,592,433][7][,,][Arial]]SOPER PLUMBING [[1075,395,1218,433][7][B,,][Arial]]Category [[1951,395,2019,433][7][B,,][Arial]]Plan
[[1240,398,1591,436][7][,,][Arial]]410 - Residential-Interior
[[101,482,224,520][7][B,,][Arial]]Bathtub [[413,482,431,520][7][,,][Arial]]2 [[469,482,587,520][7][B,,][Arial]]Shower [[794,482,812,520][7][,,][Arial]]0 [[851,482,1059,520][7][B,,][Arial]]Ejector/Gri
nd [[1178,482,1196,520][7][,,][Arial]]0 [[1235,482,1363,520][7][B,,][Arial]]Dip Well [[1579,482,1597,520][7][,,][Arial]]0 [[1638,482,1817,520][7][B,,][Arial]]F Prep Sink [[1932,482,1950,520][7][,,][A
rial]]0 [[1987,482,2136,520][7][B,,][Arial]]Gar Drain [[2351,482,2369,520][7][,,][Arial]]0
[[99,537,250,575][7][B,,][Arial]]Whirlpool [[413,537,431,575][7][,,][Arial]]0 [[470,537,644,575][7][B,,][Arial]]Floor Drain [[796,537,814,575][7][,,][Arial]]1 [[849,537,1064,575][7][B,,][Arial]]Water
Softner [[1178,537,1196,575][7][,,][Arial]]0 [[1235,537,1378,575][7][B,,][Arial]]Drink Ftn [[1579,537,1597,575][7][,,][Arial]]0 [[1637,537,1787,575][7][B,,][Arial]]Serv Sink [[1932,537,1950,575][7][
,,][Arial]]0 [[2351,537,2369,575][7][,,][Arial]]0
[[1987,538,2146,576][7][B,,][Arial]]Soda Disp
[[101,591,239,629][7][B,,][Arial]]Lavatory [[413,591,431,629][7][,,][Arial]]2 [[794,591,812,629][7][,,][Arial]]0 [[851,591,1041,629][7][B,,][Arial]]Local Waste [[1178,591,1196,629][7][,,][Arial]]0
[[1233,591,1362,629][7][B,,][Arial]]Wait. St. [[1579,591,1597,629][7][,,][Arial]]0 [[1637,591,1824,629][7][B,,][Arial]]Shamp Sink [[1932,591,1950,629][7][,,][Arial]]0 [[2351,591,2369,629][7][,,][Ari
al]]0
[[470,595,642,633][7][B,,][Arial]]Lndry Tray [[1987,595,2194,633][7][B,,][Arial]]Coffee Maker
[[100,647,188,685][7][B,,][Arial]]Toilet [[413,647,431,685][7][,,][Arial]]2 [[796,647,814,685][7][,,][Arial]]1 [[850,647,1061,685][7][B,,][Arial]]Clothes Wshr [[1178,647,1196,685][7][,,][Arial]]0
[[1235,647,1380,685][7][B,,][Arial]]Ice Chest [[1579,647,1597,685][7][,,][Arial]]0 [[1638,647,1827,685][7][B,,][Arial]]Flr/Wst Sink [[1932,647,1950,685][7][,,][Arial]]0
[[2351,648,2369,686][7][,,][Arial]]0
[[470,650,664,688][7][B,,][Arial]]Lndry Stndp
[[1988,651,2229,689][7][B,,][Arial]]Int Grease Trap
[[101,701,248,739][7][B,,][Arial]]Res. Sink [[415,701,433,739][7][,,][Arial]]1 [[796,701,814,739][7][,,][Arial]]1 [[851,701,932,739][7][B,,][Arial]]Bidet [[1178,701,1196,739][7][,,][Arial]]0
[[1235,701,1400,739][7][B,,][Arial]]Exam Sink [[1579,701,1597,739][7][,,][Arial]]0 [[1637,701,1825,739][7][B,,][Arial]]Catch Basin [[1932,701,1950,739][7][,,][Arial]]0
[[470,704,605,742][7][B,,][Arial]]Disposal [[2351,704,2369,742][7][,,][Arial]]0
[[1988,707,2240,745][7][B,,][Arial]]Ext Grease Trap
[[101,756,233,794][7][B,,][Arial]]Bar Sink [[413,756,431,794][7][,,][Arial]]0 [[796,756,814,794][7][,,][Arial]]1 [[1579,756,1597,794][7][,,][Arial]]0 [[1636,756,1783,794][7][B,,][Arial]]Wash
Ftn [[1932,756,1950,794][7][,,][Arial]]0
[[851,757,991,795][7][B,,][Arial]]Beer Tap [[1178,757,1196,795][7][,,][Arial]]0 [[1234,757,1413,795][7][B,,][Arial]]Sculry Sink
[[470,759,652,797][7][B,,][Arial]]Dishwasher
[[1985,763,2147,801][7][B,,][Arial]]RPZ Valve [[2351,763,2369,801][7][,,][Arial]]0
[[99,810,300,848][7][B,,][Arial]]Water Heater [[415,810,433,848][7][,,][Arial]]1 [[796,810,814,848][7][,,][Arial]]1 [[1579,810,1597,848][7][,,][Arial]]0 [[1638,810,1730,848][7][B,,][Arial]]Urinal
[[1932,810,1950,848][7][,,][Arial]]0
[[469,813,659,851][7][B,,][Arial]]Sump Pump [[851,813,1026,851][7][B,,][Arial]]Dent. Oper. [[1178,813,1196,851][7][,,][Arial]]0 [[1235,813,1394,851][7][B,,][Arial]]Hand Sink
[[2354,820,2372,858][7][,,][Arial]]0
[[1988,823,2234,861][7][B,,][Arial]]Eye Wash Statn
[[100,866,252,904][7][B,,][Arial]]Site Drain [[413,866,431,904][7][,,][Arial]]0 [[794,866,812,904][7][,,][Arial]]0 [[1579,866,1597,904][7][,,][Arial]]0 [[1637,866,1817,904][7][B,,][Arial]]Standp
Rec [[1932,866,1950,904][7][,,][Arial]]0
[[469,869,676,907][7][B,,][Arial]]Classrm Sink [[851,869,987,907][7][B,,][Arial]]Lab Sink [[1178,869,1196,907][7][,,][Arial]]0 [[1235,869,1421,907][7][B,,][Arial]]Plaster Sink
[[101,923,268,961][7][B,,][Arial]]Roof Drain [[413,923,431,961][7][,,][Arial]]0 [[794,923,812,961][7][,,][Arial]]0 [[1579,923,1597,961][7][,,][Arial]]0 [[1638,923,1788,961][7][B,,][Arial]]Ice
Maker [[1934,923,1952,961][7][,,][Arial]]1
[[470,926,680,964][7][B,,][Arial]]Breakrm Sink [[850,926,989,964][7][B,,][Arial]]Sterilizer [[1178,926,1196,964][7][,,][Arial]]0 [[1234,926,1463,964][7][B,,][Arial]]Surgeons Sink
[[101,999,281,1037][7][B,,][Arial]]Use/Nature [[314,999,404,1037][7][,,][Arial]]NSFR
[[100,1037,222,1075][7][B,,][Arial]]of Work
[[925,1308,991,1346][7][B,,][Arial]]Size [[1202,1308,1327,1346][7][B,,][Arial]]Material [[1475,1308,1553,1346][7][B,,][Arial]]Type [[1680,1308,1698,1346][7][B,,][Arial]]# [[1781,1308,1961,1346][7][B,
,][Arial]]Conn. Type
[[600,1358,835,1396][7][B,,][Arial]]Sanitary Sewer [[1722,1358,1740,1396][7][,,][Arial]]0
[[1722,1408,1740,1446][7][,,][Arial]]0
[[1722,1458,1740,1496][7][,,][Arial]]0
[[1722,1508,1740,1546][7][,,][Arial]]0
[[1722,1558,1740,1596][7][,,][Arial]]0
[[600,1633,800,1671][7][B,,][Arial]]Storm Sewer [[1722,1633,1740,1671][7][,,][Arial]]0
[[1722,1683,1740,1721][7][,,][Arial]]0
[[1722,1733,1740,1771][7][,,][Arial]]0
[[1722,1783,1740,1821][7][,,][Arial]]0
[[1722,1833,1740,1871][7][,,][Arial]]0
[[599,1908,816,1946][7][B,,][Arial]]Water Service [[1722,1908,1740,1946][7][,,][Arial]]0
[[1722,1958,1740,1996][7][,,][Arial]]0
[[1722,2008,1740,2046][7][,,][Arial]]0
[[1722,2058,1740,2096][7][,,][Arial]]0
[[2088,2065,2250,2103][7][B,,][Arial]]Parcel Id #
[[1722,2108,1740,2146][7][,,][Arial]]0
[[2095,2118,2275,2156][7][,,][Arial]]1416582800
[[1024,2188,1105,2226][7][,,][Arial]]$0.00 [[1747,2188,1948,2226][7][,,][Arial]]Permit Voided
[[99,2190,246,2228][7][B,,][Arial]]Valuation [[393,2190,537,2228][7][,,][Arial]]$4,500.00 [[601,2190,820,2228][7][B,,][Arial]]Plan Approval [[1169,2190,1353,2228][7][B,,][Arial]]Permit
Fees [[1557,2190,1656,2228][7][,,][Arial]]$98.00
[[101,2265,255,2303][7][B,,][Arial]]Issued By [[2076,2265,2146,2303][7][B,,][Arial]]Date [[2175,2265,2337,2303][7][,,][Arial]]06/25/2004
[[152,2370,1772,2408][7][,,][Arial]]In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
[[149,2415,1928,2453][7][,,][Arial]] While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
[[150,2470,1761,2508][7][,,][Arial]]described in this permit application within an easement, the City strongly urges the permit applicant to contact the
[[150,2516,1395,2554][7][,,][Arial]]easement holder(s) and to secure any necessary approvals before starting such activity.
[[1876,2576,1946,2614][7][B,,][Arial]]Date
[[150,2579,301,2617][7][B,,][Arial]]Signature
[[958,2633,1146,2671][7][,,][Arial]]Agent/Owner
[[149,2696,279,2734][7][B,,][Arial]]Address [[325,2696,667,2734][7][,,][Arial]]2225 BURNWOOD DR [[966,2696,1132,2734][7][,,][Arial]]OSHKOSH [[1268,2696,1311,2734][7][,,][Arial]]WI [[1350,2696,1440,27
34][7][,,][Arial]]54902 [[1475,2696,1486,2734][7][,,][Arial]]- [[1497,2696,1569,2734][7][,,][Arial]]0000 [[1625,2696,1921,2734][7][B,,][Arial]]Telephone Number [[1975,2696,2112,2734][7][,,][Arial]]42
6-2151
[[159,2760,2349,2805][9][B,,][Arial]]To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
[[161,2810,2373,2855][9][B,,][Arial]]Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
[[161,2857,2326,2902][9][B,,][Arial]]Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
[[159,2904,2029,2949][9][B,,][Arial]]continue if the inspection is not performed within two business days from the time the project is ready.