HomeMy WebLinkAbout0118051-Plumbing (sink/toilet)
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OSHKOSH
ON THE WATER
Job Address 1107 W BENT AVE
CITY OF OSHKOSH
No
118051
PLUMBING PERMIT. APPLICATION AND RECORD
Owner PATRICK A WILSON
Create Date 02101/2006
Contractor
HOMEOWNER
Category 410 - Residential-Interior
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int GreaseTrap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 1 Disposal 0 Bidet 0 Sculry Sink ~ Wash Ftn 0 RPZ Valve 0
Res. Sink 1 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 ~
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 0 Soda Disp 0
Misc. 0 I
Fixtures
Use/Nature FRI Replacing the kitchen sink and 1 toilet.
of Work
Size
Material
Type
1#
~
~
0
~
0
Parcel Id 1#
1205500000
Conn. Type
Storm Water
Valuation
$600.00 Plan Approval
$0.00
Permit Fees
$20.00 D Permit Voided I
Issued By
Date 02101/2006
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 permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature y:. ? - c.-../ --....:. Date 2s <.. J ( / "" <P
Address 223 W 16TH AVE
Agent/Owner
OSHKOSH
WI 54902 6905 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.