HomeMy WebLinkAbout0113620-Plumbing
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[[1101,100,1565,159][12][B,,][Arial]]CITY OF OSHKOSH
[[2204,116,2330,161][9][B,,][Arial]]113620
[[2067,117,2117,162][9][B,,][Arial]]No
[[103,200,352,257][12][,,][Arial]]OSHKOSH [[731,200,1930,259][12][B,,][Arial]]PLUMBING PERMIT - APPLICATION AND RECORD
[[101,260,359,298][7][,,][Arial]]ON THE WATER
[[100,319,297,357][7][B,,][Arial]]Job Address [[334,319,596,357][7][,,][Arial]]406 W 10TH AVE [[1075,319,1176,357][7][B,,][Arial]]Owner [[1208,319,1477,357][7][,,][Arial]]NANCY L MILLER
[[1950,319,2131,357][7][B,,][Arial]]Create Date [[2175,319,2337,357][7][,,][Arial]]04/19/2005
[[100,394,268,432][7][B,,][Arial]]Contractor [[295,394,639,432][7][,,][Arial]]LUDWIG'S PLUMBING [[1075,394,1218,432][7][B,,][Arial]]Category [[1951,394,2019,432][7][B,,][Arial]]Plan
[[1240,397,1591,435][7][,,][Arial]]410 - Residential-Interior
[[2350,479,2368,517][7][,,][Arial]]0
[[849,481,1064,519][7][B,,][Arial]]Water Softner
[[101,482,224,520][7][B,,][Arial]]Bathtub [[413,482,431,520][7][,,][Arial]]0 [[468,482,586,520][7][B,,][Arial]]Shower [[794,482,812,520][7][,,][Arial]]0 [[1178,482,1196,520][7][,,][Arial]]0
[[1233,482,1362,520][7][B,,][Arial]]Wait. St. [[1578,482,1596,520][7][,,][Arial]]0 [[1637,482,1824,520][7][B,,][Arial]]Shamp Sink [[1931,482,1949,520][7][,,][Arial]]0 [[1987,482,2194,520][7][B,,][Ar
ial]]Coffee Maker
[[1178,535,1196,573][7][,,][Arial]]0 [[2350,535,2368,573][7][,,][Arial]]0
[[99,537,250,575][7][B,,][Arial]]Whirlpool [[469,537,643,575][7][B,,][Arial]]Floor Drain [[1235,537,1380,575][7][B,,][Arial]]Ice Chest [[1638,537,1827,575][7][B,,][Arial]]Flr/Wst Sink
[[413,538,431,576][7][,,][Arial]]0 [[794,538,812,576][7][,,][Arial]]0 [[851,538,1041,576][7][B,,][Arial]]Local Waste [[1578,538,1596,576][7][,,][Arial]]0 [[1931,538,1949,576][7][,,][Arial]]0
[[1988,538,2229,576][7][B,,][Arial]]Int Grease Trap
[[850,590,1061,628][7][B,,][Arial]]Clothes Wshr
[[101,591,239,629][7][B,,][Arial]]Lavatory [[413,591,431,629][7][,,][Arial]]0 [[469,591,641,629][7][B,,][Arial]]Lndry Tray [[794,591,812,629][7][,,][Arial]]0 [[1178,591,1196,629][7][,,][Arial]]0
[[1235,591,1400,629][7][B,,][Arial]]Exam Sink [[1578,591,1596,629][7][,,][Arial]]0 [[1637,591,1825,629][7][B,,][Arial]]Catch Basin [[1931,591,1949,629][7][,,][Arial]]0 [[1988,591,2240,629][7][B,,][A
rial]]Ext Grease Trap [[2350,591,2368,629][7][,,][Arial]]0
[[1178,644,1196,682][7][,,][Arial]]0
[[100,646,188,684][7][B,,][Arial]]Toilet [[1636,646,1783,684][7][B,,][Arial]]Wash Ftn
[[413,647,431,685][7][,,][Arial]]0 [[469,647,604,685][7][B,,][Arial]]Disposal [[794,647,812,685][7][,,][Arial]]0 [[851,647,932,685][7][B,,][Arial]]Bidet [[1234,647,1413,685][7][B,,][Arial]]Sculry
Sink [[1578,647,1596,685][7][,,][Arial]]0 [[1931,647,1949,685][7][,,][Arial]]0 [[1988,647,2150,685][7][B,,][Arial]]RPZ Valve
[[2350,651,2368,689][7][,,][Arial]]0
[[469,700,651,738][7][B,,][Arial]]Dishwasher
[[101,701,248,739][7][B,,][Arial]]Res. Sink [[415,701,433,739][7][,,][Arial]]1 [[851,701,991,739][7][B,,][Arial]]Beer Tap [[1178,701,1196,739][7][,,][Arial]]0 [[1235,701,1394,739][7][B,,][Arial]]Hand
Sink [[1578,701,1596,739][7][,,][Arial]]0 [[1638,701,1730,739][7][B,,][Arial]]Urinal [[1931,701,1949,739][7][,,][Arial]]0 [[1988,701,2234,739][7][B,,][Arial]]Eye Wash Statn
[[796,704,814,742][7][,,][Arial]]1
[[2350,707,2368,745][7][,,][Arial]]0
[[101,756,233,794][7][B,,][Arial]]Bar Sink
[[413,757,431,795][7][,,][Arial]]0 [[468,757,658,795][7][B,,][Arial]]Sump Pump [[794,757,812,795][7][,,][Arial]]0 [[851,757,987,795][7][B,,][Arial]]Lab Sink [[1178,757,1196,795][7][,,][Arial]]0
[[1235,757,1421,795][7][B,,][Arial]]Plaster Sink [[1578,757,1596,795][7][,,][Arial]]0 [[1637,757,1817,795][7][B,,][Arial]]Standp Rec [[1931,757,1949,795][7][,,][Arial]]0 [[1986,757,2226,795][7][B,,]
[Arial]]Wtr Sewer Mtrs [[2350,757,2368,795][7][,,][Arial]]0
[[99,810,300,848][7][B,,][Arial]]Water Heater [[413,810,431,848][7][,,][Arial]]0 [[468,810,675,848][7][B,,][Arial]]Classrm Sink [[850,810,989,848][7][B,,][Arial]]Sterilizer [[1234,810,1463,848][7][B,
,][Arial]]Surgeons Sink [[1638,810,1788,848][7][B,,][Arial]]Ice Maker [[1988,810,2214,848][7][B,,][Arial]]Deduct Meters
[[794,813,812,851][7][,,][Arial]]0 [[1178,813,1196,851][7][,,][Arial]]0 [[1578,813,1596,851][7][,,][Arial]]0 [[1931,813,1949,851][7][,,][Arial]]0 [[2350,813,2368,851][7][,,][Arial]]0
[[100,866,252,904][7][B,,][Arial]]Site Drain [[413,866,431,904][7][,,][Arial]]0 [[469,866,679,904][7][B,,][Arial]]Breakrm Sink [[851,866,979,904][7][B,,][Arial]]Dip Well [[1235,866,1414,904][7][B,,][
Arial]]F Prep Sink [[1637,866,1786,904][7][B,,][Arial]]Gar Drain [[1986,866,2227,904][7][B,,][Arial]]Wtr Usage Mtrs
[[794,869,812,907][7][,,][Arial]]0
[[1178,872,1196,910][7][,,][Arial]]0 [[1578,872,1596,910][7][,,][Arial]]0 [[1931,872,1949,910][7][,,][Arial]]0 [[2350,872,2368,910][7][,,][Arial]]0
[[851,921,994,959][7][B,,][Arial]]Drink Ftn [[1234,921,1384,959][7][B,,][Arial]]Serv Sink
[[101,922,268,960][7][B,,][Arial]]Roof Drain [[413,922,431,960][7][,,][Arial]]0 [[469,922,677,960][7][B,,][Arial]]Ejector/Grind [[1637,922,1796,960][7][B,,][Arial]]Soda Disp
[[794,929,812,967][7][,,][Arial]]0 [[1178,929,1196,967][7][,,][Arial]]0 [[1578,929,1596,967][7][,,][Arial]]0 [[1931,929,1949,967][7][,,][Arial]]0
[[102,977,194,1015][7][B,,][Arial]]Misc.
[[413,979,431,1017][7][,,][Arial]]0
[[101,1015,228,1053][7][B,,][Arial]]Fixtures
[[101,1077,281,1115][7][B,,][Arial]]Use/Nature [[313,1077,731,1115][7][,,][Arial]]SFR/ Remodeling the kitchen
[[100,1115,222,1153][7][B,,][Arial]]of Work
[[925,1379,991,1417][7][B,,][Arial]]Size [[1202,1379,1327,1417][7][B,,][Arial]]Material [[1475,1379,1553,1417][7][B,,][Arial]]Type [[1680,1379,1698,1417][7][B,,][Arial]]# [[1781,1379,1961,1417][7][B,
,][Arial]]Conn. Type
[[600,1429,835,1467][7][B,,][Arial]]Sanitary Sewer [[1722,1429,1740,1467][7][,,][Arial]]0
[[1722,1479,1740,1517][7][,,][Arial]]0
[[1722,1529,1740,1567][7][,,][Arial]]0
[[1722,1579,1740,1617][7][,,][Arial]]0
[[1722,1629,1740,1667][7][,,][Arial]]0
[[600,1704,800,1742][7][B,,][Arial]]Storm Sewer [[1722,1704,1740,1742][7][,,][Arial]]0
[[1722,1754,1740,1792][7][,,][Arial]]0
[[1722,1804,1740,1842][7][,,][Arial]]0
[[1722,1854,1740,1892][7][,,][Arial]]0
[[1722,1904,1740,1942][7][,,][Arial]]0
[[599,1979,816,2017][7][B,,][Arial]]Water Service [[1722,1979,1740,2017][7][,,][Arial]]0
[[1722,2029,1740,2067][7][,,][Arial]]0
[[1722,2079,1740,2117][7][,,][Arial]]0
[[1722,2129,1740,2167][7][,,][Arial]]0
[[2088,2135,2250,2173][7][B,,][Arial]]Parcel Id #
[[1722,2179,1740,2217][7][,,][Arial]]0
[[2093,2188,2273,2226][7][,,][Arial]]0906290000
[[1024,2257,1105,2295][7][,,][Arial]]$0.00 [[1747,2257,1948,2295][7][,,][Arial]]Permit Voided
[[99,2259,246,2297][7][B,,][Arial]]Valuation [[393,2259,537,2297][7][,,][Arial]]$1,500.00 [[601,2259,820,2297][7][B,,][Arial]]Plan Approval [[1169,2259,1353,2297][7][B,,][Arial]]Permit
Fees [[1556,2259,1655,2297][7][,,][Arial]]$20.00
[[101,2334,255,2372][7][B,,][Arial]]Issued By [[2076,2334,2146,2372][7][B,,][Arial]]Date [[2175,2334,2337,2372][7][,,][Arial]]04/21/2005
[[152,2439,1772,2477][7][,,][Arial]]In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
[[149,2484,1928,2522][7][,,][Arial]] While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
[[150,2539,1761,2577][7][,,][Arial]]described in this permit application within an easement, the City strongly urges the permit applicant to contact the
[[150,2586,1395,2624][7][,,][Arial]]easement holder(s) and to secure any necessary approvals before starting such activity.
[[1876,2646,1946,2684][7][B,,][Arial]]Date
[[150,2649,301,2687][7][B,,][Arial]]Signature
[[958,2703,1146,2741][7][,,][Arial]]Agent/Owner
[[149,2765,279,2803][7][B,,][Arial]]Address [[327,2765,639,2803][7][,,][Arial]]1903 ASHLAND AVE [[966,2765,1132,2803][7][,,][Arial]]OSHKOSH [[1267,2765,1310,2803][7][,,][Arial]]WI [[1350,2765,1440,28
03][7][,,][Arial]]54901 [[1475,2765,1486,2803][7][,,][Arial]]- [[1496,2765,1568,2803][7][,,][Arial]]0000 [[1625,2765,1921,2803][7][B,,][Arial]]Telephone Number [[1975,2765,2112,2803][7][,,][Arial]]23
1-5770
[[159,2829,2349,2874][9][B,,][Arial]]To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
[[161,2879,2373,2924][9][B,,][Arial]]Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
[[161,2926,2326,2971][9][B,,][Arial]]Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
[[159,2973,2029,3018][9][B,,][Arial]]continue if the inspection is not performed within two business days from the time the project is ready.