HomeMy WebLinkAbout0118947-Plumbing
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OSHKOSH
ON THE WATER
Job Address 3710 PURPLE CREST CT
CITY OF OSHKOSH
No
118947
PLUMBING PERMIT -APPLICATION AND RECORD
Owner ERIC J/JACQUEL Y KIFFMEYER
Create Date ~
Plan
Category 410 - Residential-Interior
Contractor
HOMEOWNER
Bathtub -------.1
Whirlpool ~
Lavatory -------.1
Toilet 1
Res. Sink 0
Bar Sink 0
Water Heater ~
Site Drain 0
Roof Drain 0
0 I
Misc.
Fixtures
Shower 0 Water softner 0 Wait.st.
Floor Drain 0 Local Waste ~ Ice Chest
Lndry Tray 0 Clothes Wshr 0 Exam Sink
Disposal 0 Bidet 0 sculry Sink
Dishwasher 0 BeerTap 0 Hand Sink
Sump Pump 0 Lab Sink ~ Plaster Sink
Classrm Sink 0 Sterilizer 0 Surgeons Sink
Breakrm Sink 0 Dip Well 0 F Prep Sink
Ejector/Grind 0 Drink Ftn ~ serv Sink
Use/Nature
ofWork
[""" -,,~ ~~""
0 Shamp Sink
--.2 FlrlWst Sink
0 Catch Basin
--.2 Wash Ftn
~ Urinal
~ standp Rec
~ Ice Maker
0 Gar Drain
~ Soda Disp
0
0
0
~
0
0
0
0
0
Coffee Maker 0
Int GreaseTrap ~
Ext Grease Trap ~
RPZValve --.2
Eye Wash statn ~
Wtr Sewer Mtrs ~
Deduct Meters ~
Wtr Usage Mtrs ~
Size
Type
Conn. Type
Material
Storm Water
#
---.2
---.2
0
---.2
Parcelld #
1261370000
$0.00
Permit Fees
$21.00 0 Permit Voided I
Valuation
$1.000.00 Plan Approval
Date 04/13/2006
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 penn it. 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 performa
Signature
f this work, I agree to perform all work pursuant to rules governing the described construction.
, Date ~/~'¿bo6
Agent/Owner
OSHKOSH
WI 54901 8212 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
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.