HomeMy WebLinkAbout0112782 P
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112782
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHARLENE BOELTER Create Date 02/02/2005
Contractor Category 410 - Residential-Interior Plan
Bathtub 1 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
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Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
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Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
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Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int GreaseTrap 0
-
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
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Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
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Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
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Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
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Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/ Removing the existing paneling in the living room and bathroom and installing drywall. An exhaust fan will be installed in the bathroom.
of Work Insulation will be replaced and/or installed if needed. This permit does not include plumbing or electrical.
Job Address
222 S SAWYER ST
HOMEOWNER
Size
Material
Type
# Conn. Type
0
0
0
0 Parcelld #
0 0607430100
$21.00 U Permit Voided I
Storm Water
Valuation
$4,000.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 02/24/2005
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address 222 S SAWYER ST
Agent/Owner
OSHKOSH
WI 54902 5763 Telephone Number
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.
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.