HomeMy WebLinkAbout0123530-Plumbing (outside faucet)
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OSHKOSH
ON THE WATER
Job Address 1970 S WESTHAVEN DR
CITY OF OSHKOSH
PLUMBING PERMIT.. APPLICATION AND RECORD
Owner PAUL W/CATHY SPIEGEL
Contractor D R GLAZE PLUMBING
Category 402 - Residential-Exterior (other)
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ISFR/ Replace rear outside faucet.
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Hose bib
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink .
Serv Sink
~
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rej:
Ice Maker
Gar Drain
Soda Disp
No
123530
Create Date
02/15/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$250.00 Plan Approval
~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Issued By
Parcelld #
1315690000
Date 02/15/2007
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
Address 1865 JAMES RD
Agent/Owner
OSHKOSH
WI 54904 - 6873 Telephone Number 920-589-4014
Date
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.
Oly ~r Oshkosh
TUSpccholt s.::r<locS O""sion
p OBQX H30
Qs.bb:Jsh. wt 5.ttj(n~1130
Phone: (92()) 236-5050
Fax: (920) 236-508"
1# L1/~r;
It ) S"'<e
::2/1"110-'7
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C')/! iK(;!i".i
......r~~:.~~::~ ":..::....-. ~. -; ~ f
Plumbing Permit Application
I hereby app1y for a pef!lut to do and instaH die following plumbing on the prcOli~ hcreinaflcr described the work to confmm to !lle
Wisl.'O~tslt1 SUIte Plumbing CDde. in 1he performance of which aU paftits Dercto agree 10 and arc: bound b~ said statutes
. Apptic~on(s) and feefs) can fx: brought to City Halt Room 205 or mailed to Inspection Services. PO.Do" 1128,
Oshkosh we 54903-112-8. Commencing wod. without pcrmi1{s) 'wtu result in fucs being doubled QT $) 00,00 pins me
no0113.1 penult fuc, whIch ever (s greater.
OR
il.YQ/J are a conlrQC[o" pa,..tidpDlinj( ;1'1 111ft !:et:miJ. Fet! ,!tCOII!'J ~\'1;~H:'!!!...L!!}J{ have adequate fumfJ....r/'wc.k here
11 VOIl 'tJ'qtJJ lhi:; pToce.<:.~ed IllFOUf.h 'lOlIT ul:cpubl n .
Job Addrfu_J!l7Q, ~S Wr=rnlMfi'I VaJueill~"'lIgl.t,.lU>dma~rjjjl~) 2rO!.~~ Date ::2/tLJ!O"7 ~
()wner Jlll.(l. .;.Cmly SflE"GEL C""tl'lIlt:\W b :R ~ GbJlZE: PLRG _,__
[1?J'Single Family Do.pIe' OMulti-Famil, o Rellul OCommurial OlndmtriaJ
Number of Fb:tures:
T"ilc
Ri:1l'. Sick
Rill" Sillk
W.l"',. 1l;;a10!l'
n ('_ -: fk.'Cl '1 PwrVI~t
'3'mnp 'hm1P
'F.j.:;;fi)I'I("".;nd
""aleI' Sl,all~r
l.>rl1llJ.'tn
~l'--!lil.. ~;t
\u ~'t:.t:A
t.llUl'I1 sink
~"1l..y Sink
Jlaud Shlk
l" ~ Sink
!krv Sin~
IIlI (;WII,;: TtilP
LX t U"II';>:" Tf.lf'
R'.rJ:, Val v""
Shlm1p' Sink
1,'lr;W~t Siuk
Catch :Bastn
W il;;h F!~l
UlIthlllb
\\.'l>trlI1001
Ofcpool
lJishwllShcr
T) ;:a.""mory
~ :.~\
Shm"~T
Plot" nnlil\
1-1;C:l1 W;l~~
c.:ldtlJcs w.
ni~""-
J-k.'<lt nil
~:~Sin.ll.
SIlrg<-'Ufl1l s.ink
1Jtt.>ak1m Siol;.
l)ip Wcll
1 h"le Hit,f;
Oar IK.M
!"~r;lil Oi'{'
~:<'lt~ Maker
c.trmm. t.."lt ~"'d
Site DnliIl
M~;f Ur~il1
ftlamll'Rt,
~''l~
lAb Sink
l'ia.<J.<'t Sink
f)-c W..J. S1n
\\ill ~ MIJ1;
j);;dllct \fd\&,.,,'
'<;ktiliz..;r
\-li~.:,
....L
\\'11 1~8c Mtrs
N:'-\lm:b-
Electrk ContrJldor
OR
DEfettric lostaJlahon Verification form attaehed
{If Repl&"..mmt)
Use I Nature of Work R€p~c€. R ~K...~Q. CJrr$'.I 4r;:._~FA (J '..lET
Sil'~
Mnccriat
Type
-#
C_ Typel
j
{) tJ1r1
I}\ \ fJf' 1;0
"b0
)0-
r~ _or
f Stonn Sewer
I Water Sen:ice