HomeMy WebLinkAbout0118368-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1069W 10TH AVE
CITY OF OSHKOSH
No
118368
PLUMBING PERMIT - APPLICATION AND RECORD
OWner SCOTT L SCHREIBER Create Date 02/28/2006
Category 410 - Residential-Interior Plan
Bathtub -.-Q Shower 0 Water Softner 0 Wail.SI. -.-Q Shamp Sink 0 Coffee Maker -.-Q
Whirlpool -.-Q Floor Drain -.-Q Local Waste -.-Q Ice Chest -.-Q FlrlWst Sink 0 Int Grease Trap -.-Q
Lavatory ---.!. Lndry Tray 0 Clothes Wshr -.-Q Exam Sink -.-Q Catch Basin 0 Ext Grease Trap -.-Q
Toilet ---.!. Disposal -.-Q Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve -.-Q
Res. Sink ---.!. Dishwasher 0 Beer Tap -.-Q Hand Sink 0 Urinal -.-Q Eye Wash Statn -.-Q
Bar Sink -.-Q Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs -.-Q
Water Heater ---.!. Classrm Sink 0 Sterilizer 0 Surgeons Sink -.-Q Ice Maker 0 Deduct Meters -.-Q
Site Drain -.-Q Breakrm Sink 0 DipWell -.-Q F Prep Sink -.-Q Gar Drain 0 Wtr Usage Mtrs -.-Q
Roof Drain -.-Q Ejector/Grind 0 Drink Ftn -.-Q Serv Sink 0 Soda Disp 0
Misc. -.-Q
Fixtures
Contractor KEITH PETERSEN PLUMBING
Use/Nature
ofWork
WORK ADDED TO REPIPE UNDER PERMIT #0118320 CHECK #13958
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 1305540000
$1.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By
$28.00 0 Permit Voided I
Date~
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
Address
1600 HAMILTON CT
Agent/Owner
LITTLE CHUTE
Date
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.
WI 54140 - 2534
Telephone Number