HomeMy WebLinkAbout0110616-Plumbing (aded fixtures)OSHKOSH
ON THE WATER
,Job Address 2957 FOND DU LAC RD
Oontraetor WELLNITZ PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HRS DEVELOPMENTS
Category 410- Residential-Interior
No 110616
CreMe Date 09/21/2004
Plan
Bathtub 0 Shower 0 Ejector/Grind 1 Dip Well 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/~Nst Sink 0 Int Grease Trap __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap __
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZValve
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn __
Site Drain 0 Classrm Sink 0 Lab Sink 0 Piaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 1
0
0
0
0
0
0
0
Use/Nature
of Work
XTRA FXTS TO PERMIT 0108262
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 $1,000.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided
Issued By
Parcel Id #
1413204000
Date 09/21/2004
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
Agent/Owner
Address 4810 AMBERWOOD LN APPLETON WI 54915 - 0000 Telephone Number (O)231-7390
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.