HomeMy WebLinkAbout0123221-Plumbing (bathroom remodel)
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OSHKOSH
ON THE WATER
Job Address 1149 ALGOMA BLVD
CITY OF OSHKOSH
No
123221
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner TED AlMARY S MCNUL TV Create Date 01/18/2007
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 Ex! Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye WashStatn
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 D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature FR / REWORK LAYOUT FOR 1/2 BATHROOM OFF KITCHEN "check #4145
. of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0507120000
$0.00 Permit Fees
$25.00 D Permit Voided I
Valuation .$1 '35W Plan APproval.
Issued By ~
Date 01/18/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner.
Address 1865 JAMES RD OSHKOSH WI 54904 - 0000 Telephone Number 920-589-4014
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (I.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
('ii,\.' or Oshkosh
InS))CChon Sorv~$ Di~'i&iotl
p 0 Bo~ Jl30
Oshkosh. Wi ;"90,~M'110
Phone: (92()) 236.5050
fax: (920) 236.508...
JAN 1 3 2007
~.
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Plumbing Permit Application
I hereby ~pply for if &>enuit to do and instaJJ We foUowing plumbing on lile prcm~ hereinafter described. tile "'{Irk to confornt t.o die
W~~JJsiu S_ P1urnb~ Code. in the petfonnaoce of whidt aU patties hereto agree tn and arc bound ~ said statutes
. Application(s) and reefs) can be brought to City Halt Room 205 or mailed to lnspedion Services. PO Box 1128.
Oshkosh wr 54903. J 123. C.ommcndng "vork without pcnnit(s} will n>sult in roes being doubled or $ HlO,U{) plus the
nonnal pet111it ftc, which ever is greater.
OR
if j)()lt are a {;'!.!!.!.!.'HJ.(}f 'partidpolii'f!l in Ihtt-.!!.ermil Fee AccouTlJ Sll.!!f.!!!",!!,!,d hayl.' adet(lIa,e funds. <;hed( he1'''
d VON ""Lml tJli.~--p.r....{Lt::e_'t,<:e4 l/rroughvo/ir Qcc(.J.H1!LI]
Job Address ~-'1~.u i-C~ '7J LiiJ. Value (l&llt..~ '.r lIfl6 maleri.t~) rft { ].S"b"!1Z..
~Tln ~ J-- 5 Ltc f!"SeJ t,\:.'-,-ry: C".1:ranw ~Z. G~~z"-c- ~C<1;lr;
~gle Family DD.pIn OMultj..Fa.iJy ORenl:lJ DComflK'reial
Dare tliS-/d7_
1 ,
Diad_trial
Number of Fi:xtu,.~S':
U/l1JmJb
---L
~
\'Jump'I"()fIlp
l'~I)t1'('>rint.l
Wat,:r SOi}'l<!f
Orink 1:(..
w~.!)'t.
l.U;; '('nt.'IIl.
;'1(l1l"I1 Sin..
!kurry Sink
lJaad smk
I' ~ Sink
~fV Sink
Catch fb._
Wil;;ltFl!1
~--n""'"
OM lx.M
\l>llirlpool
l'l....~m)
.jQ;iCf
~, SiJ!li:
n- Siuk
1JillJl<"'JlI
.iJ1shwllllIra>
W.II>lt I1oi:.i11er
CI Gas -: f-k.-.:l '1 Pwf'\'nl
j_~'l.'>!1 Wjlh1!:
cWrcs Wdt
a.",~
H.laTnp
<:'snu. Sid.
~ur8l-...ng Sink
IJMdmu SO:
"ip \Veil
lI.:o11e Hitt~
S.~a~ Di'~t."
(:ofJ~t MJl~
Cmnm. k." MaJ.<<r
Si'ruW/!T
Plt_ !')rain
" __" ~ . . ~ _ _".0
lrlt <irClt~;:: ItilF
1.:'1 t4~jI1;'" Tr.;p
D It 7.. V3IVol
Shllmp" Siftk
1'lt!W~l Slut.
Sit: Drain
R.ed Vr~:n
~landr R....
F.,... WW SIn
WIf &wa:r Mtr;;
Lndry l~
~b Sink
1'1a.~1<'r Sillk
.D.:dUl,1 \ f"I"fS
8ldiliz~r
Wt~ t1...~c M~M
\..Ji~".
1<tl.1un:~
Electrie Contrador ... .. .. OROEIt.ctric Installation Vemtallhon form attached
(tf <<"14J...tll\~l}
~se/N_r.ofWorl< fe~-rl-~ t ~ ,_ftd:1G-,
l~ Sow.,
f Stann Sc"'Cf
l ~alcr Sen-i<:;e
Sil'e
Matctiat
Ty'PC
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