HomeMy WebLinkAbout0109522-Plumbing (toilet)OSHKOSH
ON THE WATER
Job Address 237 W 6TH AVE
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH No 109522
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TERRY L ZEH Create Date 07/22/2004
Category 420 - Residential-Other Plan
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump __
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoftner 0 DrinkFtn 0 ServSink 0 Soda Disp 0
0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
0 Clothes Wshr 0 Ice Chest 0 FIr/~Nst Sink 0 Iht Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 BeerTap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye WashStatn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
INSTALL TOILET
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type # Conn. Type
Valuation $200.00 Plan Approval $0.00 Permit Fees
Issued By
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$20.00 [] PermitVoidedI
Parcel Id #
0900070000
Date 07/23/2004
In the performance of this work, I agree to perform all work pumuant to roles 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 thin 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 sta~ing such activity.
Signature Date
Agent/Owner
Address 522 W. MURDOCK AVE OSHKOSH WI 54901 - 2298 Telephone Number 231-9880
To schedule inspections please call the Inspection Request line at 236-5t 28 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.