HomeMy WebLinkAbout0109785 POSHKOSH
ON THE WATER
,lob Address 442 W 17TH AVE
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARTIN F/PAMELA GROMNtCKI
Category 410- Residential-Interior
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink __
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec __
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 109785
Create Date 08/04/2004
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap __
0 Ext Grease Trap __
0 RPZ Valve
0 Eye Wash Statn __
0
0
0
0
0
0
0
0
0
Use/Nature
of Work
INSTALL STUDOR VENT ON TUB DRAIN
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $200.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided
Issued By
Parcel Id #
0908640000
Date 08~04~2004
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 enfome 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.
Signature Date
Address 522 W. MURDOCKAVE
Agent/Owner
OSHKOSH WI 54901 - 2298 Telephone Number 231-9880
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.