HomeMy WebLinkAbout0117974-Plumbing
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OSHKOSH
ON THE WATER
Job Address 3135 HALLIE HOLLOW CT
CITY OF OSHKOSH
No
117974
PLUMBING PERMIT -APPLICATION AND RECORD
Owner THEODORE AIPAME MILLER
Create Date 01/25/2006
Contractor
HOMEOWNER
Category 410 - Residential-Interior
Plan
Bathtub 0 Shower 1 WaterSoftner 0 Wai!.S!. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest ~ FlrlWst Sink 0 Int GreaseTrap 0
Lavatory 1 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ex! Grease Trap 0
Toilet 1 Disposal 0 Bidet 0 sculry Sink ~ Wash Ftn 0 RPZValve 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink ~ Soda Disp 0
Misc. 0 I
Fixtures
Use/Nature SFRI LATE PERMIT/ Finishing off a batl1room in the basement.
of Work
Size
Material
Type
#
Conn. Type
Storm Water
0
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0
Parcel Id #
1343680000
valuationu $1,000.00 Plan Approval
Issued By ~
$0.00
Permit Fees
$21.00 0 Permit Voided I
Date 01/25/2006
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permi!. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a proDerlv licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~ IM\ \ \'...----
AgenUOWner
Address 3135 HALLIE HOLLOW CT OSHKOSH
Dat~
WI 54904 6302 Telephone Number
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.
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.