HomeMy WebLinkAbout0118494-Plumbing (fixtures)
0
OSHKOSH
ON THE WATER
Job Address 143 CHURCH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
118494
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 4 Lndry Tray
Toilet 4 Disposal
Res. Sink 0 Dishwasher
Bar Sink 0
Water Heater 0
Site Drain 0
Roof Drain 0
Misc. 0
Fixtures
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
[
Owner SCOTT C/NICOlE BRAYTON Create Date 02/24/2006
Category 410 - Residential-Interior Plan
0 Water Softner 0 Wail.SI. 0 Shamp Sink 0 Coffee Maker 0
0 Local Waste 0 Ice Chest -----9. FlrlWst Sink 0 Int GreaseTrap 0
0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Bidet 0 Sculry Sink -----9. Wash Ftn 0 RPZ Valve 0
0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
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
Contractor
HOMEOWNER
Use/Nature
of Work
ROMEOWNER INSTALLING FIXTURES PREVIOUSLY ROUGHED IN BY PLUMBER UNDER PERMIT #118293.
Size Material Type # Conn. Type
Storm Water - ----2 -
- ----2 -
- ----2 -
- ----2 - Parcelld #
0 0701440000
Valuation
$1.500.00 Plan Approval
$0.00
Permit Fees
$56.00 D Permit Voided I
Issued By
Date 03/13/2006
The undersign ä, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle resi ence of!h~ undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be e 10Y~d'i~ assist with the work described by this permit. If an individual will be employed to install plumbing
the work invo .ed'must be covered by a permit issued to a properly licensed Master Plumber.
, I a9ree to perform all work pursuant to rules governing the described construction. ') / /
<---- Date J¡);; / (j b
AgenVOwner
OSHKOSH
~ 54901 0000 Telephone Number
CEll 216-0235
Signature
Address 143 CHURCH AVE
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 hoider(s) and to secure any necessary approvals before starting such activity.