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Home My WebLink About0122860-Plumbing o CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1236 ELMWOOD AVE No 122860 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner BRIAN A PIZON Create Date 12/12/2006 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 THOMAS PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By SSFRlRough and finish work for bathroom in basement. Size Material Type #, Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1205810000 $400.00 Plan Approval 0/).....<1 $O~OO Permit Fees $25.00 D Permit Voided I Date 12/12/2006 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 pe pplication within an easement, the City strongly urges the permit applicant to contact the easement holder secure any neces approvals before starting such activity. Signature Date /2- 12 - tJ(p Address 849 VINE ST WI 54901 - 0000 Telephone Number 232-0094 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. City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, VVI54903-1130 (\ Phone: (920) 236-5050 \. ) Fax: (920) 236-5084 ~ 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 If YOU are a contractor participating in the Permit Fee Account System and have adequate funds. check here if YOU want this processed through your account n Job Address leX 30 '=6111 /.U:)(j ~ Owner t7 ~ -' DSingle Family Duplex Value (Including labor and materials) ~t1tll tJ/) Contractor 7MYJ'Vl4S . P / U fVt b 11)11 DMulti-Family !Z1Rental DCommercial Date 12 -12 -0" DIndustrial Number of Fixtures: 0, Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower ~ ~ / Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Drink Ftn 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 lnt 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 Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Size Material Type # Conn. Type 0--\1)40 0 .f}~ ( ~ ~\g \ \1- Use / Nature of Work R/)()tfl) Qt- F/~/5h PI f)MjJl~ Sanitary Sewer Storm Sewer VV ater Service n/os