HomeMy WebLinkAbout0122999-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1705 OSHKOSH AVE
CITY OF OSHKOSH
No
122999
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
1 Floor Drain
1 Lndry Tray
1 Disposal
Dishwasher
Sump Pump
2 Classrm Sink
Breakrm Sink
Ejector/Grind
Owner KURT C/JEAN R KIELlSCH Create Date 12/06/2006
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 WELLNITZ PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Bathroom remodel and gas water heater replacements.
-
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1611800000
$0.00 Permit Fees
$42.00 D Per~it Voided I
Valuation ~~-,-:5Q~Q.q Plan Approval
Issued By
Date 12/22/2006
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 sec any necessary approvals before starting such activity.
Signature <' ~ 4-'- Date /'.2;.2 z ~o c::;;;
Agent/Owner
Address 4810 AMBERWOOD LN
APPLETON
WI 54915 - 0000 Telephone Number (0)231-7390
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
f\ Phone: (920) 236-5050
J 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor varticivating in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this vrocessed through vour account va
JobAddress I/D$"' CJstk~L
Owner J{,jrl- k/e:lsc' A
~ingle Family DDuplex
Ave Value (Including labor and materials) ?Sc:>o Date /2-;);) - o...c..
,'1.J f? //.NI :.; '- ~ ~ );r~
----'
DIndustrial
Contractor
DMulti- Family
DRental
DCommercial
Number of Fixtures:
,.\ Bathtub Disposal
Whirlpool --1- Dishwasher
Lavatory I Sump Pump
Toilet ~ Ejector/Grind
Res. Sink Water Softner
Bar Sink Local Waste
Water Heater -L Clothes Wshr
;@Jas 0 Elect 0 PwrVnt Bidet
Shower -'- Beer Tap
Floor Drain Classrm Sink
Lndry Tray Surgeons Sink
Lab Sink Breakrm Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor OR
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 Cornrn. Ice Maker
Serv Sink Site Drain
Jnt 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
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
Bc;~h ....00/"'1 If e /"'>e>~ ('
Size
Material
Type
#
Conn. Type
Sanitary Sewer
r
Storm Sewer
VV ater Service
n/os