HomeMy WebLinkAbout0117594 P
e CITY OF OSHKOSH No 117594
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 12250NTARIOST Owner JEFFREY A ABRAHAM/K A MITCHELL Create Date 12/14/2005
Contractor JOHN D RANSOM Cate90ry 411 - Residential-Water Heaters Plan
Bathtub 0 Shower 0 Water Softner 0 Wait. St.
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink
Toilet 0 Disposal 0 Bidet 0 Sculry Sink
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink
Misc. 0
Fixtures
0 Shamp Sink ~
0 Flr/WstSink 0
0 Catch Basin 0
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp 0
Coffee Maker 0
In! Grease Trap ~
Ext Grease Trap ~
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
of Work
r"'~ w,~ "~,~
Size
Material
#
0
0
0
0
0
Conn. Type
Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$385.00
$0.00
$20.00 D Permit Voided I
Permit Fees
Plan Approval
Issued By
Date 12/14/2005
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 holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address W5056 PARADISE LN
Agent/Owner
FOND DU LAC
WI 54935 - 0000
Telephone Number 920-922-1987
Parcelld #
1208080000
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.