HomeMy WebLinkAbout0117562 P
e
OSHKOSH
ON THE WATER
Job Address 1940 OLIVE ST
CITY OF OSHKOSH
No
117562
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor FORREST PLUMBING LLC
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
0
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
1
0
0
0
0
0
0
0
0
WaterSoftner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Owner SHIRLEY WILKE
Create Date 12/09/2005
Category 410- Residential-Interior
Plan
0
0
0
0
0
0
0
0
0
WaitSt
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
0
0
0
0
0
0
0
0
0
Shamp Sink 0
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 0
Int Grease Trap 0
Ext Grease Trap ~
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Sterilizer
Dip Well
Drink Ftn
FRilnstalling shower' (debit acct)
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Stonn Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 1216030000
Use/Nature
of Work
Valuation
Issued By
$3,500.00
Plan Approval
$0.00
Permit Fees
Date 12/09/2005
$20.00 0 PerrTI~\lo~
In the perfonnanee 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 perforrn 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 5210 N LOOP RD
AgenVOwner
LARSEN
WI 54947 - 0000
Telephone Number
920-836-3986
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 peñormed within two business days from the time the project is ready.