HomeMy WebLinkAbout2005-Plumbing (toilet)
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OSHKOSH
ON THE WATER
Job Address 1922 PLYMOUTH ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
OWner DOROTHY HA2EN
Contractor SAMMONS PLUMBING
Category 410 - Residential-Interior
Bathtub 0 Shower 0 Water Softner 0 Wait.SI. 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 ~
Toilet 1 Disposal 0 Bidet 0 SculrySink 0 Wash Ftn ~
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 ~
Water Heater 0 Classrm 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 ~
Misc. 0
Fixtures
Use/Nature f'" ~,~ wm
of Work
No
117490
Create Date 12/05/2005
Plan
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
Size
Material
Sanitary Sewer
Type # Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00 D Permit Voided I
Storm Sewer
Water Service
Valuation
$250.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 12/05/2005
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 pariy, if you perfonn 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
Address 522W.MURDOCKAVE
AgenUOwner
OSHKOSH
WI 54901 - 2298
Telephone Number 231-9880
Parcelld #
1216610000
Date
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.