HomeMy WebLinkAbout0123193-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1185 LOCUST ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
123193
Owner CARLYON E HUGHES Create Date 01/16/2007
Category 402 - Residential-Exterior (other) 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 DR GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Hose Bib
SFRI Replace outside faucet.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer ,
Water Service
Parcel Id #
1612510000
Valuation
Issued By
$0.00
$25.00 0 Permit Voided I
$185.00 Plan Approval
~
Address 1865 JAMES RD
Permit Fees
Date 01/16/2007
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
Agent/Owner
OSHKOSH
WI 54904 - 0000 Telephone Number 920-589-4014
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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City orOshkosh
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POBox Il30
Oshkosh,W~ ;49(l.fMH:m
PfI011C: (~2(l) 236-5050
fax:(920)236~508~
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Plumbing Permit Application
I hereby apply for .1 pemut to do and instalJ dae fo~Jowing pmmbing: on Ibe prcm ~ hcrcinaOcr dcscrib<<l. tile wark to COmOlllt fO die
WiSpCm,sU1$1att,: PJ"llJbiAA CQIk. in the perfonnance of which,all parties .hereto agree to and arc 00und ~ said statutes
· Application(s) and fee{s) can be brought to City Halt Room 205 or mailed to lmpedion Services. PO Box 112S.
Oshkosh wr 54903... J 121.COJm'DCncing \vork without pcnnit(s) wtu KiSUJt in fees being dOlfbled or $1{)0 ,00 plus the
nonnal penuit ftc, which ever is greater.
OR
if }>OIJ aye a Cf!f1.l!/!SlrJf particiPDJi1'l/l ill Ihe....e~,.lIIil Fee ACCOUnl Svst.f!..!!l.....!!.tyi kallt' ad,q""fe funds. chedl hl11'f!
If vOJ/ 'K'f!tH Olis pr.1Lce....w:d Ihm'llg.h "molT (,U'i::Bl'1!LD
Job Addreu_J.LRr- t<x:..U.SiI t:;-("
()wlu~r LAt<.LY61f flf1(!;!Is:r
C!rSingle Family 00....
ContradOJ'
VaJut' !llll,llt.l4iiftt"'ratll:Jmalerillll~) 'fl &~
~"'1'- C[,i(-ze fLlJ.G,
ORetlta' DComfllercial
Date ((tf)~~
[]Mutti-I"am.ily
OtlldtMtr..1
Number of Fixture,;
&1hmf> l~" Uri.a.l Ft.. Cl11.ro R_
\l,:llirirolll ~~ w..it. !.t. WiI,,"fl!!
i ."f.VliIlJI)' Sump ?lmrp i{;e ~~'lh \-..i_~
"('.,iter l'~KJ'("""'ind f..luuf1 Sink Oar i)rain
-'-
Rt:ti'. Sir.~ \it "r..f ~oiitr~r ~"Ufry Sink S"~G.1 Di~j)
n.r Sillk L,,~~l W;Jsl<; }.laJ.Id Sink ,(:"'t~e M~~
W...kr I.L.:ater <.."IoIhw:s W.. 1~ ~ Sink CCltnm. !t.,"l:! Mal.".
CI (',as -~ f.k"d ;f P~~1'"Vnl njdd Sorr Sinl Sit;: Drain
l\huI\'IlT rk.:r Till' 1m {rrClt~;; ItiW Roof .t1t~:n
f'l~~'r ~'lIi~ t"llltt;:rmSillk L'" t1J~ll'>S: Tr.;r "''''l1dp it"
~'lny X~'tlng Sink R II 7._ Val\-".. F.,,~ W....J1 SIn
Lab Sink IJNakmJ Si* ~ Siltk W" St'wa:r MIA
l'ta,<;l~ !'linK ~'ip Well Ht!Wra Sulk Lkdru;t \ f~k<r~
8Icrihz." Ih\.~e H~ .~L..- W1I'.1 f."'JgJ:' M~fS
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Electri(' Contractor
OR
DElectrie III5IfaJlatioa V.emJClltioJl form attac:hed
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~s.e' Nature OfW.ork~C4..__1L~~E" h(A&:t
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