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Home My WebLink About0123553-Plumbing e OSHKOSH ON THE WATER Job Address 1227 JACKSON ST Contractor Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures CITY OF OSHKOSH 'No 123553 PLUMBING PERMIT - APPLICATION AND RECORD HOMEOWNER Owner VICTOR A GIRENS JR Create Dat\~ 02/19/2007 Category 410 - Residential-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink Int Grea1,eTrap Clothes Wshr Exam Sink Catch Basin Ext Grealse 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 Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Shower Floor Drain 2 Lndry Tray 1 Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Gri nd I Use/Nature 1st floor bathroom addition. of Work Valuation Issued By Size Type # Conn. Type Material Storm Water Parceil Id # 1202900000 $2,500.00 Plan Approval $28.00 0 Permit Voided I $0.00 Permit Fees Date 02/19/2007 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, S5 145.06, that other individuah, will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the performa~.ce of t~i5 work, I ag1~ to perform all work pursuant to rules governing the described construction. Signature t)tii/;t., [J. <:tS:Jv~....v" Date Agent/Owner Address 1227 JACKSON ST OSHKOSH WI 54901 3751 Telephone Number 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. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform tho 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. City of Oshkosh In~pection 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 pemrit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If yOU are a contractor participating in the Permit Fee Account System and have adequate funds. check here ifvou want this processed throuzh your account n Job Address J ;.,J..J;,?.7 .]1)( K::~/I) Value (Including labor and materials)9Sii [) Owner U 'I L1b n ,14 ( G i (c'13J.i$ Contractor -:Se-+.{2---- '~i~gle Family DDuplex DMulti-Family DRental DCommercial Date~ -lct'-07 Dlndustrial Number of Fixtures: Bathtub -L / Whirlpool Lavatory Toilet -L -L Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. !c{: Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FlrlWst Sink Deduct M\~ters Wtr Usage Mtrs Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 11/05