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HomeMy WebLinkAbout0122800-Plumbing o OSHKOSH ON THE WATER Job Address 2550 VILLAGE LN PLUMBING PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH No 122800 Owner BETTY LOU CARTER Create Date 12/05/2006 Plan Category 411 - Residential-Water Heaters Contractor MERTEN PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs SFR (CONDO UNIT) /INSTALL GAS WATER HEATER Size Material .. Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1320511600 Valuation Issued By $810.00 Plan Approval '8Yn~,-,) $0.00 $25.00 0 Permit Voided I Date 12/05/2006 Permit Fees 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 Address 1076 COZY LN Agent/Owner OSHKOSH WI 54901 - 0000 Telephone Number 231-6795 Date 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. r~\ (""", r, City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 DEe 0 5 2006 2 ~ ~ OfHKOfH C:-" --i;: \VATFR Plumbing Permit Application I hereby apply for a permit to 00 and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing C<:lOt>.. 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 Ifvou are a contractor participajing in the Permit Fee Accollnt Svstem and hare adequate funds. check here if VOll want this processed ,hrough vour account n Job Address ~ fl. V~ Owner J.) LY 1\/ ~Single Family []Du.plex Value (Including labor and materialS)--.-!' 10. co Date 1 f /:2 ~ I 0 ~ rV\.Q1~_b~ / p lu~~ DRental DCommercial Dlndustrial Contractor DMulti-FamiIy Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater I w..Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Disposal Dishwashe'C Smnp PIm:Ip ~ Water Scftner Ux:aI W:asre Oothes Wshr Bidet Beer Tap Oassrm Sink SmgeonsSink Breakrm.Sink DipWeI.i I100e 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 Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec RP.Z. Valve Eye Wash Stn SharnpSink Wtr Sewer Mtrs FlrlWst Sink Deduct Meters Wtr Usage Mtrs Fixtures Electric Contractor OR DElectric Installation Verification form attached {If Replacement) Use / Nature ofWork__. Size - Material Conn. Type Type # Sanitary Sewer Storm Sewer Water Service 11/05