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0113381 P
e OSHKOSH ON THE WATER Job Address 785-791 W PACKER AVE CITY OF OSHKOSH No 113381 PLUMBING PERMIT - APPLICATION AND RECORD Owner KURT KOEPPLER Create Date 03/21/2005 Category 410 - Residential-Interior Plan Bathtub 4 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 - - - - - - Whirlpool 0 Floor Drain 2 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0 - - - - - - Lavatory 4 Lndry Tray 0 Clothes Wshr 2 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 - - - - - Toilet 4 Disposal 2 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0 - - - - - - Res. Sink 2 Dishwasher 2 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 - - - - - - Bar Sink 0 Sump Pump 2 Lab Sink 0 Plaster Sink 0 Standp Rec 2 Wtr Sewer Mtrs 0 - - - - - - Water Heater 2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0 - - - - - - Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0 - - - - Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 - Misc. 0 Fixtures Contractor FIELDS PLUMBING Use/Nature of Work Duplex! New Duplex w/ attached garages, driveway as per plans - NO DECK or PATIO. Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Parcelld # 1219742100 $196.00 U Permit Voided I Valuation $14,000.00 Plan Approval $0.00 Permit Fees Issued By Date 04/11/2005 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 Address 1939 SOUTHLAND LN Agent/Owner NEW LONDON WI 54961 - 0000 Telephone Number 920-982-5813 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. Plumbing Permit Work Card Job Address 785-791, W PACKER AVE Permit Number 113381 Create Date 03/21/2005 Owner KURT KOEPPLER Contractor FIELDS PLUMBING Category 410'" (iesidential-Interior Plan Value $14,000,00 Bathtub 4 Shower ---2 Water Sollner 0 Wai!.S!. ---2 Shamp Sink 0 Coffee Maker 0 Whirlpool ~ Floor Drain ---1 Local Waste 0 Ice Chest ---2 FlrlWst Sink ---2 Int Grease Trap ---2 Lavatory 4 Lndry Tray ---2 Clothes Wshr 2 Exam Sink ---2 Catch Basin ---2 Ext Grease Trap ---2 Toilet 4 Disposal ---1 Bidet 0 Sculry Sink ---2 Wash Ftn ---2 RPZ Valve ---2 Res, Sink 2 Dishwasher ---1 BeerTap 0 Hand Sink ---2 Urinal ---2 Eye Wash Statn 0 Bar Sink 0 Sump Pump ---1 Lab Sink 0 Plaster Sink ---2 Standp Rec ---1 Wtr Sewer Mtrs ---2 Water Heater 2 Classrm Sink ---2 Sterilizer 0 Surgeons Sink ---2 Ice Maker ---2 Deduct Meters 0 Site Drain 0 Breakrm Sink ---2 DipWell 0 F Prep Sink ---2 Gar Drain ---2 Wtr Usage Mtrs 0 Roof Drain ---2 Ejector/Grind ---2 Drink Ftn 0 Serv Sink ---2 Soda Disp ---2 Misc. ---2 Fixtures Use/Nature Duplex! New Duplex w/ attached garages, driveway as per plans - NO DECK or PATIO. I of Work Size Material Type # Conn.Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Date Type Underground Inspector WJ (Chip) Callies no time r"~""' Datemme requested: 4/11/05 10:49 AM Notice Type: Telephone Number: 851-0926 Access: Ready Datemme: 4/11/05 10:49 AM Requested By: Scott 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid -- - - - - - - - - - --- - - - - - -- - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - ---- - - - - - - - - - - ---- - - - - ------ - - - - - - - ---- - - - ---- - -- -- Job Address 785-791 W PACKER AVE Owner KURT KOEPPLER Plumbing Permit Work Card Permit Number 113381 Contractor FIELDS PLUMBING Create Date 03/21/2005 Category 410-- Residential-Interior Plan Value $14,000,00 Bathtub 4 Shower ---2 Water Sollner 0 Wait. St. ---2 Shamp Sink 0 Coffee Maker 0 Whirlpool ~ Floor Drain ---1 Local Waste 0 Ice Chest ---2 FlrlWst Sink 0 Int Grease Trap 0 Lavatory 4 Lndry Tray ---2 Clothes Wshr 2 Exam Sink ---2 Catch Basin ---2 Ext Grease Trap 0 Toilet 4 Disposal ---1 Bidet 0 Sculry Sink ---2 Wash Ftn 0 RPZ Valve ---2 Res. Sink 2 Dishwasher ---1 BeerTap 0 Hand Sink ---2 Urinal 0 Eye Wash Statn ---2 Bar Sink ---2 Sump Pump ---1 Lab Sink 0 Plaster Sink ---2 Standp Rec ---1 Wtr Sewer Mtrs ---2 Water Heater 2 Classrm Sink ---2 Sterilizer 0 Surgeons Sink ---2 Ice Maker 0 Deduct Meters ---2 Site Drain ---2 Breakrm Sink ---2 Dip Well 0 F Prep Sink ---2 Gar Drain 0 Wtr Usage Mtrs 0 Roof Drain ---2 Ejector/Grind ---2 Drink Ftn 0 Serv Sink ---2 Soda Disp ---2 Misc. ---2 Fixtures ~:~~~~ure jDUPlex! New Duplex w/ attached garages, driveway as per plans - NO DECK or PATIO, I Type # 0 0 0 0 0 0 0 0 0 0 Size Material Conn.Type Sanitary Sewer Storm Sewer Water Service Type Rough In Inspector Rich Wood approved Date 5/24/05 DatelTime requested: 5/24/05 09:31 AM Notice Type: Telephone Number: Access: Ready DatelTime: 5/24/05 09:31 AM Requested By: 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid - - - - - - - - - - - - - - - - - - - - - - --- - - - - - ---- - - - - ----- ----- - - - - - - - - ------ - - - - --- - - - - - - - - -- - - - - - - - - -- - - - -- - - - - --- - - -- Job Address 785-7'¡)1 W PACKER AVE Owner KURT KOEPPLER Category 41 b,. 'J.esidential-Interior Bathtub -----.i Shower Whirlpool ~ Floor Drain Lavatory -----.i Lndry Tray Toilet 4 Disposal Res. Sink ---1 Dishwasher Bar Sink ---2 Sump Pump Water Heater ---1 Classrm Sink Site Drain ---2 Breakrm Sink Roof Drain ---2 Ejector/Grind Misc. ---2 Fixtures ---2 ---1 ---2 ---1 ---1 ---1 ---2 ---2 ---2 Plumbing Permit Work Card Permit Number 113381 Water Sollner 0 Local Waste 0 Clothes Wshr 2 Bidet 0 Beer Tap 0 Lab Sink 0 Sterilizer 0 Dip Well 0 Drink Ftn 0 Contractor Plan - Wai!.S!. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink FIELDS PLUMBING ---2 ---2 ---2 0 ~ ~ ~ ~ ~ Create Date 03/21/2005 Value $14,000,00 Shamp Sink 0 Coffee Maker 0 FlrlWst Sink 0 Int Grease Trap ---2 Catch Basin 0 Ext Grease Trap ---2 Wash Ftn ---2 RPZ Valve ---2 Urinal 0 Eye Wash Statn 0 Standp Rec 2 Wtr Sewer Mtrs ---2 Ice Maker 0 Deduct Meters ---2 Gar Drain ~ Wtr Usage Mtrs ---2 Soda Disp ~ I Use/Nature of Work Duplex! New Duplex w/ attached garages, driveway as per plans - NO DECK or PATIO, Size Sanitary Sewer Storm Sewer Water Service Date 7/25/05 Type Final Inspector Rich Wood Material Type # 0 0 0 0 0 0 0 0 0 0 Conn.Type approved Phone message (5050) rec'd 7/25/05 6:20 AM 0 0 0 0 0 Datemme requested: 7/25/05 07:00AM Notice Type: Telephone Number: Access: ¡Key inside 9arage next to door on a 1x4 Ready DatelTime: 7/25/05 07:00 AM Requested By: FIELDS PLUMBING-Scott 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid 851-0926 -- - - ---- - - - - - - - - - - -- ------- - - - - - - - - - - - - ----- - - - - - - - - - ---------- - - - - - - - --- - - - - -- --- - - - - - - - - - - - ----- - --- - --