HomeMy WebLinkAbout118224-Plumbing
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OSHKOSH
ON THE WATER
Job Address 2321 ASHLAND ST
CITY OF OSHKOSH
No
118224
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MRIMRS ROLAND M BUCK
Create Date 02117/2006
Plan
Contractor
HOMEOWNER
Category 410 - Residential-Interior
Bathtub 0 Shower ~ Water Softner 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain ~ 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 0 Disposal 1 Bidet 0 Sculry Sink ~ Wash Ftn 0 RPZValve 0
Res. Sink 1 Dishwasher 1 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump ~ 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 L
Use/Nature [ ",~,~ ~ . ,- ~'oo.
of Work
Size Material Type # Conn. Type
Storm Water 0
~..- ~-~ ------2
~._- ~~ 0
~-- 0 Parcelld #
1517500000
Valuation ___jlSJOO.OO Plan Approval $0.00 Permit Fees $21.00 0 Permit Voided I
Issued By C'a::7 Date 02117/2006
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 properlv licensed Master Plumber.
In the perfonmanee of this work. I agree to perform aU work pursuant to ruies governing the described construction.
Signature 'f-- K "-"'Z. 0.- -'" \3.-<-<-<--1( Date
J';J.'¡70C;
Address 2321 ASHLAND ST
AgenVOwner
OSHKOSH
Y"!.. 54901 1905 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
c6ntinue 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 penmit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.