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Home My WebLink About0122864-Plumbing e OSHKOSH ON THE WATER Job Address 641 JEFFERSON ST CITY OF OSHKOSH No 122864 PLUMBING PERMIT - APPLICATION AND RECORD Owner RAMSEY/BARBARA A KAGAK Create Date 12/11/2006 Plan Contractor KIENAST L G UTILITY CONSTRUCTION Category 401 - Residential-Exterior (laterals) Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet Sculry Sink Wash Ftn Res. Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain EjectorlGri nd Drink Ftn Serv Sink Soda Disp Misc. Fixtures UselNature bandon sanitary sewer and water latertals for home to be razed. , of Work Coffee Maker IntGrease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Valuation $300.00 Plan Approval $0.00 $25.00 D F='.~mi~ Voided I Permit Fees Issued By 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) an~re a~y pss,ary approvals befo{estarting such activity. Signature Y ~ 4 .~.A/V( ,/ , .' . Agent/Owner Parcel Id # 0402200000 Date 12/12/2006 Date (~/IJj?' ! Address 765 N WASHBURN OSHKOSH WI 54904 - 0000 Telephone Number 414-231-0898 To schedule inspections please call the Inspection Requestline 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 DEe 12 vvJ ~ OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a pennit 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 $100.00 plus the normal permit fee, which ever is greater. OR If YOU are a contractor participatinf! in the Permit Fee Account System and have adequate funds. check here if YOU want this processed throuf!h your account n Job Address (p4/ J e+-krSo f) IS+ Value (IncIUdinglabOrandmateriaIS).$ &JO. 00 Date~lp Owner j)Ctm~~t \'\o..5Ov~ Contractor J~ i~a..)} L G- ufi l~ry CJ)nSf-; ~ingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial Number of Fixtures: r Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Disposal Dishwasher 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 Camm. Ice Maker Serv Sink Site Drain Int 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 Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use I N atnre of Work o-knel (V) v..,'cLck f "- se l.JCC I a:te VA ll' (10 ra~'i.~ Size Material Type # Conn. Type. Sanitary Sewer (I . Storm Sewer VV ater Service n/05