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HomeMy WebLinkAbout0122815-Plumbing (bathroom) o OSHKOSH ON THE WATER Job Address 845 HERITAGE TRL CITY OF OSHKOSH No 122815 PLUMBING PERMIT - APPLICATION AND RECORD Contractor PLUFF PLUMBING Owner RODNEY C/JONEL M CHRISTIANSON Create Date 12/07/2006 Category 410 - Residential-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker local Waste Ice Chest Flr/Wst 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 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater 1 2 Shower Floor Drain lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Site Drain Breakrm Sink Roof Drain Ejector/Grind Misc. Fixtures Use/Nature FR 1 INSTALL NEW FIXTURES FOR A BATHROOM REMODEL "check #10047 of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0613980000 Valuation $2,000.00 Plan Approval Issued By ~~ $0.00 Permit Fees $28.00 0 Permit Voided I Date 12/07/2006 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 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 activjty. Signature Date Address PO BOX 264 Agent/Owner DALE WI 54931 - 0264 Telephone Number 779-4884 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. City of Oshkosh Inspection Services Division POBox 1130 o Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920) 236-5084 DEe 0 7 2G06 W ~ ~ 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 Wisconsin 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 fuspection 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 If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here if vou want this processed through vour account n Job Address e 15" I-/~ ~ M Value (Including labor and materials) ~ ~> 000. ('il- Owner frd"l!!iS)iU12I/et3~contractor -,-om PLLr-ff 1'J,M- ")SJSingle Family. .DDuplex -OMulti-Famlly .'DRental . DCommercial (h~ r, Number of Fixtures: -L Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt -L ~ Shower Floor Drain Lndry Tray Lab Sink PlaSffiSink Sterilizer Misc. Fixtures ~ Electric Contractor Use I Nature of Work Date '''ll/I)~ Z~ DIndustrial Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap ClassTffi Sink Surgeons Sink Breakrm Sink DrinkFtn Wait.St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap R.P.Z. Valve S.hamp Sink _._~__~,~ _..~ ___~'~__'~'__."._.'_U"~_'~'~""'_'_._.__._ FlrlWst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec, Eye Wash Stn Wtr Sewer Mtrs Dip Well Deduct Meters <:&. d-8',09- Wtr Usage Mtrs OR DElectric Installation Verification form attached (If Replacement) , Conn. Type r Sanitary Sewer Storm Sewer Water Service Size Material Type # 4/05