HomeMy WebLinkAbout0110938-Plumbing (repair)OSHKOSH
ON THE WATER
,Job Address 1228 W 5TH AVE
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH No 110938
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WILLIAM MOP, ASH Create Date 10/04/2004
Category 401 - Residential-Exterior (laterals) Plan
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 LndryStndp __
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 DipWell 0 F Prep Sink 0 Gar Drain
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap __
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn __
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
REPAIR WTR SERV
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
Lateral 1
0
0
Repai~
$600.00 Plan Approval $0.00 Permit Fees $50.00 [] Permit Voided
Parcel Id #
0609880000
Date 10/07/2004
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 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.
Signature Date
AgentJOwner
Address 522 W. MURDOCK AVE OSHKOSH WI 54901 - 2298 Telephone Number 231-9880
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.