HomeMy WebLinkAbout0117134 Pluming (toilets)
0
OSHKOSH
ON THE WATER
Job Address 2520 G HAVENWOOD DR
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
No
117134
PLUMBING PERMIT. APPLICATION AND RECORD
Owner JUDITH K VERHULST
Create Date 11/03/2005
Plan
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Water Softner 0 WaitSt 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWstSink 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 2 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Water Heater 0 Classnn Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Coffee Maker --Q
Int Grease Trap ~
Ex! Grease Trap ---_J>
RPZ Valve 0
Eye Wash Statn -....Q
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
ofWork
r'~'-'~~~
Size
Material
Type
#
Conn. Type
Sanitary Sewer
0
0
0
0
0
Storm Sewer
Water Service
Parcelld #
1631002200
Valuation
$500.00
Plan Approval
$0.00
Permit Fees
$20.00 D Pennlt Voided i
Issued By
Date 11/04/2005
In the performance of this work, I agree to perfonn 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 appilcation within an easement, the City strongly urges tne pennit appilcant to contact tne
easement holder(s) and to secure any necessary approvais before starting such activity.
Signature
Date
Address 522 W. MURDOCK AVE
Agent/Owner
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.