HomeMy WebLinkAbout0118196-Plumbing
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OSHKOSH
ON THE WATER
Job Address 2410W9THAVE
CITY OF OSHKOSH
No
118196
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor HOMEOWNER
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Disposal
Res. Sink 0 Dishwasher
Bar Sink 0 Sump Pump
Water Heater 0 Classrm Sink
Site Drain 0 Breakrm Sink
Roof Drain 0 Ejector/Grind
Misc. 0 I
Fixtures
Use/Nature r'--.
ofWork
OWner TIMOTHY A GRAY/RHONDAJ SASMAN Create Date 02/14/2006
Category 410 - Residential-Interior Plan
0 Water softner 0 Wail.sl. 0 Shamp Sink 0 Coffee Maker 0
0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int GreaseTrap 0
0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ex! Grease Trap 0
0 Bidet 0 sculry Sink ----'1 Wash Ftn 0 RPZValve 0
0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash statn 0
0 Lab Sink 0 Plaster Sink 0 standp Rec 0 Wtr Sewer Mtrs ----'1
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
0 Drink Ftn 0 serv Sink 0 Soda Disp 0
Size
Material
Type
#
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Conn. Type
Storm Water
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0
Parcelld #
0613930000
Valuation
$2,000.00
Plan Approval
$0.00
Permit Fees
$21.00 0 Permit Voided I
Issued By
Date 02/14/2006
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 permil. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properlv licensed Master Plumber.
Date o'l-lL-J --6 Co
Address 2410W9THAVE
~ 54904 8050 Telephone Number
To schedule inspections please cali 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 approvais before starting such activity.