HomeMy WebLinkAbout0122815-Plumbing (bathroom)
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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
~
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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