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Home My WebLink About0123291-Plumbing o OSHKOSH ON THE WATER Job Address 1624 DOEMEL ST Contractor THOMAS PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Bathtub 2 Shower Water Softner Whirlpool Floor Drain Local Waste Lavatory 2 Lndry Tray Clothes Wshr Toilet 2 Disposal Bidet Res. Sink Dishwasher 1 Beer Tap Bar Sink Sump Pump 1 Lab Sink Water Heater Classrm Sink Sterilizer Site Drain Breakrm Sink Dip Well Roof Drain Ejector/Grind Drink Ftn Misc. Hose bib Fixtures Owner DAVID R CLARK Category 410 - Residential-Interior Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp No 123291 Create Date 01/24/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Use/Nature First floor bathroom remodel, basement bathroom addition, install new clearwater sump pump of Work l I I i I ~ Size Sanitary Sewer Storm Sewer Water Service Material Type # Conn. Type Valuation $1,600.00 Plan Approval Issued By ~ ~.....) Parcelld # 1514360000 $0.00 Permit Fees $63.00 0 Permit Voided I Date 01/24/2007 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 itappJication within an easement, the City strongly urges the permit applicant to contact the easement hol r) d to secure any n ary approvals before starting such activity. Signature Date / -c1-f -&1 Agent/Owner Address 849 VINE SI__ Oshkos~______ WI 54901 - 0000 Telephone Number 232-0094 To schedule inspections please call the Inspection Request line at 236-5128 ~oting 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, WI 54903-1130 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 Wisconsin 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 varticivatinf! in the Permit Fee Account Svstem and have adequate funds. check here ifvou want this processed throuf!h vour account n Job Address ll.p~y Doem~l 3t-, .David r JAy-{e ~ingle Family DDuplex Owner Number of Fixtures: z.... Bathtub Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt ~ z.-, Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Surgeons Sink Breakrm Sink DipWelJ Hose Bibs Value (Including labor and materials) IIR () D Date /-1. tf..,; 117 Contractor ~~~lutvthl~ DRental DCommercial DIndustrial DMulti- Family Drink Ftn Catch Basin -L Wait.St. Wash Ftn -L 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 RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters / Wtr Usage Mtrs Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work f!;/Vl 6(~~ Size Material Conn. Type Sanitary Sewer Storm Sewer Water Service Type # 11/05