HomeMy WebLinkAbout0118101-Plumbing (lav & toilet)
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OSHKOSH
ON THE WATER
Job Address 206-212 W 12TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
118101
Owner DALE M/SHERRY L HOTOVEC Create Date ~
Contractor J RASMUSSEN PLUMBING INC Category 440 - Industrial-Interior Plan
Bathtub --2 Shower 0 Water Softner --2 Wai!.S!. 0 Shamp Sink --2 Coffee Maker 0
Whirlpool --2 Floor Drain --2 Local Waste 0 Ice Chest --2 Flr/Wst Sink 0 Int Grease Trap 0
Lavatory --..1 Lndry Tray --2 Clothes Wshr --2 Exam Sink 0 Catch Basin --2 Ext Grease Trap 0
Toilet --..1 Disposal --2 Bidet 0 Sculry Sink 0 Wash Ftn --2 RPZValve 0
Res. Sink --2 Dishwasher --2 Beer Tap --2 Hand Sink 0 Urinal --2 Eye Wash Statn 0
Bar Sink --2 Sump Pump --2 Lab Sink 0 Plaster Sink 0 Standp Rec --2 Wtr Sewer Mtrs --2
Water Heater --2 Classnm Sink --2 Sterilizer --2 Surgeons Sink 0 Ice Maker --2 Deduct Meters 0
Site Drain --2 Breakrm Sink --2 DipWelJ --2 F Prep Sink 0 Gar Drain --2 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind --2 Drink Ftn --2 Serv Sink 0 Soda Disp 0
Misc. --2
Fixtures
Use/Nature
of Work
REPLACE LAVATORY AND WATER CLOSET "DEBIT ACCT
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 0901240000
$500.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By
$20.00 0 Permit Voided I
Date 02/06/2006
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
Date
Address
1914 GREENBRIAR TRL
Agent/Owner
OSHKOSH
WI 54904 - 0000
Telephone Number 920-233-6747
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.