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Home My WebLink About0123362-Plumbing .0- OSHKOSH ON THE WATER Job Address 1621 WISCONSIN ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JEFFREY J JOHNSON Contractor MR ROOTER OF THE FOX VALLEY Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 411 - Residential-Water Heaters Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp No 123362 Create Date 01/31/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs SFRI Replace gas water heater. **DEBIT ACCT*-. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1209800000 Valuation Issued By $700.00 Plan Approval ~ $0.00 Permit Fees $25.00 0 Permit Voided I Date 01/31/2007 Inthe performance of this work, I agree to perform all work pursuant to rules goveming 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 PO BOX 3063 APPLETON WI 54914 - 0000 Telephone Number 920-687-9178 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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. ~ 01/31/2007 08:53 9206879407 MR ROOTER PAGE 01 City of Osblcosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 :Fax; (920) 236-5084 ~ ~H ON THIt R Plumbing Permit Application I hereby apply :for: a permit to do and install the foUowing plumbing on the premises hereinafter descn'bed. the work to confOIlQ to the Wisconsin State Plumbing Code, in the perfonnance of which aU p4rties hereto agxee to and are bowid by said statutes. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspoction Services, PO Box 1128, Oshkosh. WI 54903-1128. Co~cing WOl"k without pennit(s) will result in f~ being doubled or $100.00 plus the ' nonnal permit fee, which ever is greater. OR ere 'JobAdd~ess I~dt W, WI.,)CtlV\SI"\'ValUe(Includ~~'ancJmaterialS) 7.lY6 '; . Date 1/31// Owner JclflJo'" Y\$"O'-'\ . COlltractor MV'L ~6~.. PLc.\M6/ t<J6, WSing1e Family , DDu,Plex: DMuld":Famlly DRentaI. DCom.m~r.tbU': []IlicJustri4f,' ;': ':. : ' J", , Number of Fixtiu"es: .. ~"'~~:'i~.~.'\' \',~ ;.< .:'~~r.'s' 8al:t\tub Whir!pOol LavatQly Toilet Rl:s. Sink Disposal Dishwas.hcIr Sump Pll~ EjeclotlGrind Water Sotbter Local WIIllk: OotbOll Wsbr 8idet Beer Tap CIassrmSink Surgemtll Sink . 8reakrmSinIc Dip Well Hasc: Bibs Drin1l:Fm Wait. S1.. Jee Chest Exam Sin\( Sculry Sink Hand Sinl.< fl"lq)Sink: ServSink 1l'It Oreue ThIp Ext Grease Txap R.p.z. Valve Sbamp Sink: FlrlWst Sink , '~: ,Call:b Basin '. Wll8h ftn :Urinal Oar Drain ,Soda Disp Coffee Maker Comm. ~ Maleer SiiC Drain RoofDrailll StBndp Ree Eye Wash Stn Wtr SCWCI' Mtrs Deduct MeIerS WU' Usage Mtrs --------'- . Bar Sink Wille!' Heater t 'fJ. Gas 0 Elcct(J PwrVnt Shower floor Drain lndry Tray Lab Sink PIllStel' Sink Stcrilker Misc. FiX:l\Ires Electric Contractor OR DElectric'Installation Vedfication form attacbed (If Rq.1acement) . Use I Nature or Work ~t~ W~L ~ Size Material Type # Conn. Type \1 ~y y ~'90.1;?;(; ,J. Sanit3ry Sewer Stonn Sewer Water Service ~ n/05