HomeMy WebLinkAbout0122847-Plumbing
e
OSHKOSH
ON THE WATER
Job Address 256 W 17TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
122847
1
1
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner SYNDA J JONES Create Date 12/06/2006
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec .. Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor SOPER PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
SFRI Adding a 2nd floor bathroom in a portion of the existing 2nd floor bedroom. "debt acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0908140000
$25.00 0 Permit Voided I
Valuation $2,300.00 Plan Approval _____ $0.00 Permit Fees
Issued By ~0
Date 12/11/2006
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
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 a ication within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) a t ecure any n sary approvals before starting such activity.
Signature
AddreSS
Date /,z-/I-O~
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number 426-2151
To schedule inspections please call the Inspection Request line af236~5128l'lotingthe 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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-ll30
0, Phone: (920) 236-5050
... I Fax: (920) 236-5084
DEe \i 'lllII6 ~)
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
VVisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I in the Permi Fee Account S stem and have ade uate unds check here
our account
~5{P
Job Address~ 1/.1/1'77# ,4ue-
Owner ~.~ Contractor
, ,
!ZfSingle Family DDuplex DMulti-Family
Number of Fixtures:
r\ Bathtub
Whirlpool
Lavatory
Toilet
--L
-L
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower -1-
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Value (Including labor and material~ ,~
,/
~~~ P'.4-M
DRental DCommercial
DIndustrial
Date/,2"'/~
. ~
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrrn Sink
Surgeons Sink
Breakrrn Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Cornrn. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
OR
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work fJA.71:I- AJ)./)I~
Sanitary Sewer
r)
... Storm Sewer
VV ater Service
Size
Material
Type
#
Conn. Type
11/05