HomeMy WebLinkAbout0122811-Plumbing
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OSHKOSH
ON THE WATER
Job Address 605 LI LAC ST
CITY OF OSHKOSH
No
122811
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Owner CLIFFORD R SCHWEBKE Create Date 12/07/2006
Category 410 - Residential-I nterior 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 CULLIGAN WATER CONDITIONING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFRllnstall water softener. **DEBIT ACCT"".
of Work
Valuation
Issued By
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0613240000
$847.00 Plan Approval
~
$0.00 Permit Fees
$25.00 D Permit Void~
Date 12/07/2006
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 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.
Signature
Date
Address 405 PROSPECT AVE
Agent/Owner
N FOND DU LAC Ii'JI ?:4_9~7,_ - :1498 Telephone Number 235-1490 OR 233-05
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.
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DEC. 7,2006
7: 11AM
City of OshkOli'h
Inspection Servioes DivisiQn
.. POBox 1130
Oshkosh., WI 54903-1130
Phone; (920) 236.5050
Fa~: (920) 236.5084
CULLIGAN/MERMAID OSH~
NO,228
P.1/1
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Plumbing Permit App!ication
I hereby Llpply tor a pennit to do and inslall Ule t'ollowLng plumbhtg OLl (he premises h(.m~infl1\er d.escriblJu. Ute wOl'k hi llllnfonlllV t.he
Wisconsin State Plunlbing Code. in the perConmmce of which all pnrties hereto agree \0 nlld are bounl.l by SQid SllltlllcS
. Appliciuiol\(s) and fce(s) can be brought (0 CiLY HI1IL Room 205 or mailed to 111spection Services, PO Box 1128,
Oshkosh WI 54903.1128. COlluncncil1g work without pennit(s) willl'esull in fees being dOLlbled or $100,(1(1 pills the
lIormal penuh Coc, which ever is greater, .
OR
.'le L~.B-B-.Q1I11/~~L_WIlI hal'c. (,delflla/~..IlItl'l-t ~:hl:1Ck IL'l!.~
.Job Addrcss 0D.S ~ I LI4~ l~ VnJlIe{1n..:ll1dil\(!,lnbllrnl1dm~lll1'i~l!l ;:>1// , d"C)
Owne,' ('I,!~ \~~kA..ue...- ContrnclOl' ddL( 61-- t.t";;;7;',
~ngle F:mily DDul)lcx OM-ulti-Family ORenta DCommel-c.ial
Numbel" of Fixtul"es:
Bnthwb
Whirll'~m'
L.nvnll:l~
l'oil~
Re~, Sink
I~<<.. sink
\Vjll~1' Ilc:nl~1'
I I Uoa U.IlIC:':1 Lll'wrVlll
Shower
rloor Drnin
L.ndqr Tmy
tal> ~hd/.
I ~lo\alcl' Sink
SlcriLizcr
Mi'~,
I'lxlurClB
Eledl'ic Contl'f1eto'"
Use I Natul"e ofWorl(
I
S/lL'Ulary Sewc!"
Sloml Sewer
Water Service
Date. 12 -1% -~
DtndustI'ial
Di~I'D~nl Dl'inkFlll t:nlc:h Ho. ill
DlIlhwMI\C:1' \V~ iL SL, Wllhl~
Suml' l>uml' Ic:c: ChQIII IJrh,o\l
r~i~t(lI'/Gr(ntl l~:':"lll ,"Iuk G~,' D,'oin
Wnlcr StIRnc:r ,......... l'lcu~',~ Sink Sodn DI~II
L.ol:II WOlle IInnd Sillk <.'.,n'~1l "'Ink;:r
C'1(ilhllll Walll' I'.'r'=l' ~tl\l: c ''''11'''. I~e Mnk=r
Il{ddl !).'" Sink ~il~ Drnin .
!J~-.:r'l'nl' IIlllircnftl: TllIl) Rnlli'l)ram
CIIl'~1'I11 Sink I!xl arenIG Trnll Slnlldp I~,=~
SlIrgC:OftB Sink R,P,t. Vdve fil,e W ~Ah SlII
1J1'Il~l<nll Sin).: Sh~lIlP S~lk Wlr ,"..wel. IvIll"
DiI'W=1I Flr/Wal Sink D=\IUL:l Molen
HONe Bitt. Wlr UBIIl=MII'5
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Type
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COI1l1. Type
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