HomeMy WebLinkAbout0123347-Plumbing (washer)
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OSHKOSH
ON THE WATER
Job Address 1009 W BENT AVE
CITY OF OSHKOSH
No
123347
PLUMBING PERMIT - APPLICATION AND RECORD
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
Owner SHERYL A ROSSOW Create Date 01/30/2007
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 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
Steri Iizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor J RASMUSSEN PLUMBING INC
SFR/Addition to job - laundry standpipe and clothes washer. **DEBIT ACCT**.
i
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1207950000
$25.00 D Permit Voided I
$100.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By
~
Date 01/30/2007
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
Address 1914 GREENBRIAR TRL
Agent/Owner
OSHKOSH
WI 54904 - 0000 Telephone Number 920-233-6747
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.
~
01/30/2007
07:36
2336747
J RASMUSSEN
PAGE
01/01
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City of Osbk0:'4h
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phone; (9~O) 2'30-50$0
fax: (92.0) 236-50f\4
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. Plumbing Permit Application
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oobl<OOl> WI S4')0H 128. C_ci"g w.... wi",p,1t _~i'(') will ,"",It In 00<, l)e\\\g doubled or $100.00 pI.. fbe
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Whirlpool
tav~lX\ry
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kt:'.,. Sin~
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Cl~~$rDl Sink
SurG<'('l1'9 SUlIk
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R,.P.7.., VAlvo
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rlr/'l'!l~l; Sink
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