HomeMy WebLinkAbout0120793 P
e
OSHKOSH
ON THE WATER
Job Address 1724 OREGON ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 120793
Contractor
Owner JAMES L POLLNOW
HOMEOWNER
Water Softner
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Create Date 07/27/2006
Plan
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
I
rFR KITCHEN AND BATHROOM REMODEL
I
Storm Water
Size
Material
Type
#
Conn. Type
Valuation
Parcelld #
1400100000
Issued By
$1,500.00 Plan Approval
$0.00 Permit Fees
$35.00 0 Permit Voided I
Date 07/27/2006
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 ~roperly licensed Master Plumber.
Signature
Addres
to perform all work pursuant to rules governing the described construction.
Date
7f~/o&
WI 54902 6924 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
Agent/Owner
OSHKOSH