HomeMy WebLinkAbout0113683-Plumbing (interior)
e
OSHKOSH
ON THE WATER
Job Address 2371 SHORE PRESERVE DR
CITY OF OSHKOSH
No
113683
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAKOB H/KIMBERL IVERSEN Create Date 04/25/2005
Category 410 - Residential-Interior Plan
0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
- - - -
0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
- - - -
1 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
- - -
0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
- - - -
0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
- - - -
0 Plaster Sink 0 Standp Rec 2 Wtr Sewer Mtrs 0
- - - -
0 Surgeons Sink 0 Ice Maker 1 Deduct Meters 0
- - - -
0 F Prep Sink 0 Gar Drain 2 Wtr Usage Mtrs 0
- - -
0 Serv Sink 0 Soda Disp 0
Contractor RAUSCH PLUMBING
Bathtub 1 Shower 2 Water Softner
- -
Whirlpool 1 Floor Drain 1 Local Waste
- -
Lavatory 4 Lndry Tray 1 Clothes Wshr
- -
Toilet 4 Disposal 1 Bidet
- -
Res. Sink 1 Dishwasher 1 Beer Tap
- -
Bar Sink 0 Sump Pump 1 Lab Sink
- -
Water Heater 1 Classrm Sink 0 Sterilizer
- -
Site Drain 0 Breakrm Sink 0 Dip Well
-
Roof Drain 0 Ejector/Grind 0 Drink Ftn
-
Misc. 0
Fixtures
Use/Nature
of Work
NSFR
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 #
1281420000
$175.00 U Permit Voided I
Valuation
$12,000.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 04/25/2005
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
1604 W HASKEL ST
Agent/Owner
APPLETON
WI 54914 - 0000
Telephone Number
830-9222
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.