HomeMy WebLinkAbout0118787-Plumbing
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OSHKOSH
ON THE WATER
Job Address 126W11THAVE
Contractor
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
HOMEOWNER
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
ofWork
Valuation
Issued By
0
0
0
0
1
0
0
0
0
------21
r~M re"~'
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
0
0
0
1
1
0
0
0
0
Water Softner
Local Waste
Clothes Wshr
Bidet
Owner THOMAS P GIBSON ETAL
Category 410 - Residential-Interior
0
0
0
0
0
0
0
0
0
Wait.St.
Ice Chest
0 Shamp Sink
------2 FlrlWst Sink
0 Catch Basin
0 Wash Ftn
0 Urinal
0 Standp Rec
0 Ice Maker
0 Gar Drain
------2 Soda Disp
Create Date
Plan
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Size
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Material
Type
#
Conn. Type
0
0
0
0
0
1
0
0
0
Coffee Maker 0
Int GreaseTrap 0
Ext Grease Trap ------2
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Storm Water
0
---'!
---'!
0
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$375.00 Plan Approval
Parcelld #
0302300000
$0.00
Permit Fees
$28.00 0 Permit Voided I
Date 04/05/2006
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 properly licensed Master Plumber.
In the performance of this work, I agree to perform all war ursuant to rules governing the described construction.
Signat~ Date 4-1£ /Oh
AgenUOwner I I
OSHKOSH
~ 54902 6012 Telephone Number 233-7935
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 appiication within an easement, the City strongiy urges the permit applicant to contact the
easement hoider(s) and to secure any necessary approvals before starting such activity.