HomeMy WebLinkAbout0116136 P
~
OSHKOSH
ON THE WATER
Job Address 209 MASON ST
CITY OF OSHKOSH
No
116136
PLUMBING PERMIT. APPLICATION AND RECORD
Contractor SAMMONS PLUMBING
0
0
0
0
0
0
1
0
0
0
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner ELAINE M MILLER LIFE ESTATE
Create Date 09/06/2005
Plan
Category 411 - Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
0
0
0
0
0
0
0
0
0
Water Softner
Local Waste
Clothes Wshr
0
0
0
0
0
0
0
0
0
WaitSt
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
0
0
0
0
0
0
0
0
0
Shamp Sink ~
FlrlWst Sink 0
Catch Basin 0
Wash Ftn 0
Urinal 0
Standp Rec ~
Ice Maker 0
Gar Drain ~
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Use/Nature
ofWork
I-' "~ "~ _cO_'
Valuation
Issued By (
Sanitary Sewer
Size
Storm Sewer
Water Service
Material
Type
#
0
0
0
0
0
Conn. Type
Parcelld #
0000000000
$600.00
Plan Approval
$20.00 0 Pennit Voided I
$0.00
Permit Fees
Date 09/06/2005
In the performance of this work, I agree to perform all work pursuant to nules goveming the described ccnstnuction.
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 522W.MURDOCKAVE
AgenVOwner
OSHKOSH
WI 54901 - 2298
Telephone Number 231-9880
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.