HomeMy WebLinkAbout0118683 P
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OSHKOSH
ON THE WATER
Job Address 154W24THAVE
CITY OF OSHKOSH
No
118683
PLUMBING PERMIT - APPLICATION AND RECORD
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Owner JESSE J/MELISSA DECKER Create Date 03/28/2006
Category 411 - Residential-Water Heaters Plan
Water Softner 0 Wait.St. 0 Shamp Sink ~ Coffee Maker 0
Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int GreaseTrap 0
Clothes Wshr 0 Exam Sink 0 Catch Basin ~ Ext Grease Trap 0
Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZValve 0
Beer Tap 0 Hand Sink 0 Urinal ~ Eye Wash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec ~ Wtr Sewer Mtrs 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Drink Ftn 0 Serv Sink ~ Soda Disp ~
Contractor
HOMEOWNER
Ejector/Grind
I
[= W,~, "~~,
Size
Bathtub ~
Whirlpool ~
Lavatory ~
Toilet ~
Res. Sink ~
Bar Sink ~
Water Heater 1
Site Drain ~
Roof Drain 0
Misc. 0
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Storm Water
Material
Type
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Conn. Type
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Parcelld #
1403390000
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Valuation
Permit Fees
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$20.00 D Permit Voided I
$250.00 Plan Approval
Date 03/28/2006
Issued By
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 properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governin9 the described construction.
Signature ~~ '». ~ . Date
/ Agent/Owner
Address 154 W 24TH AVE OSHKOSH ""'-'- 54902 7212 Telephone Number
7 - 2..'i; -0 I.c
232-1479
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 holder(s) and to secure any necessary approvals before starting such activity.