HomeMy WebLinkAbout0117496 P
e
OSHKOSH
ON THE WATER
Job Address 4263 JACKSON ST
CITY OF OSHKOSH
No
117496
PLUMBING PERMIT. APPLICATION AND RECORD
Owner KENT W SIMONSON
Category 411 - Residential-Water Heaters
Contractor SAMMONS PLUMBING
Create Date 12/05/2005
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait.St. 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0
Lavatory ~ Lndry Tray 0 Clothes Wshr 0 Exam Sink 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0
Res. Sink 0 Dishwasher ~ Beer Tap ~ Hand Sink 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn ~ Serv Sink 0
Misc. 0
Fixtures
Shamp Sink ~
FlrlWst Sink 0
Catch Basin 0
Wash Ftn 0
Urinal 0
Standp Rec 0
Ice Maker 0
Gar Drain 0
Soda Disp 0
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs ~
Use/Nature
ofWork
I'"~ ~ W,"""~'"
Size
Type
Conn. Type
Material
Sanitary Sewer
Storm Sewer
Water Service
#
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Parcelld #
1266000100
$20.00 0 Permit Voided I
Valuation
$600.00
$0.00
Plan Approval
Permit Fees
Issued By
Date 12/05/2005
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 hoider(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 522W.MURDOCKAVE
AgenUOwner
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.