HomeMy WebLinkAbout0117517 P
e
OSHKOSH
ON THE WATER
Job Address 718 MONROE ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CAROL E SAMIDA
Contractor MERTEN PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 411 - Residential-Water Heaters
0
0
0
0
0
0
1
0
0
0
Shower 0 Water Softner 0 Wait.St. 0
Floor Drain 0 Local Waste 0 Ice Chest 0
Lndry Tray 0 Clothes Wshr 0 Exam Sink 0
Disposal 0 Bidet 0 Sculry Sink 0
Dishwasher 0 BeerTap 0 Hand Sink 0
Sump Pump 0 Lab Sink 0 Plaster Sink 0
Classrm Sink 0 Sterilizer 0 Surgeons Sink 0
Breakrm Sink 0 Dip Well 0 F Prep Sink 0
Ejector/Grind 0 Drink Ftn 0 Serv Sink 0
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
No
117517
rffi'~W'~,"~~'
Create Date 12/06/2005
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 0
Valuation
Issued By
Size
Material
Type
#
0
0
0
0
0
Conn. Type
Parcelld #
1107610000
Date 12/06/2005
Sanitary Sewer
Storm Sewer
Water Service
$670.00
$0.00
Permit Fees
0
0
0
0
0
$20.00 D Permit Voided I
Plan Approval
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
Address
1076 COZY LN
Agent/Owner
OSHKOSH
WI 54901 - 0000
Telephone Number 231.6795
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.