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Home My WebLink About0123573-Plumbing (bath remodel) " e OSHKOSH ON THE WATER Job Address 124 W 24TH AVE CITY OF OSHKOSH No 123573 PLUMBING PERMIT - APPLICATION AND RECORD Contractor MR ROOTER OF THE FOX VALLEY Category 410 - Residential-Interior Owner CHARLIE A1KELL Y M BELLIN Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Create Date 02120/2007 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind 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 FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs SFR/ Bathroom remodel. **DEBIT ACCT*', Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1403290000 Valuation Issued By $2,500.00 Plan Approval ~ $0.00 Permit Fees $25.00 0 Permit Voided I Date 02120/2007 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 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. qty ofOshkooh Inspection &uvic:es Division POBoxl130 Os.hkosh, WI 54903-1130 Phone; (920) 236-5050 Fax: (920) 236-5084 (f). ~QLR Plumbing Pennit Application I htteby apply for a permit to do aud install tbc following phmibmg OD the premises laeiDatler cbcribed., ~ WOlk to cooform to the Wisconsin State Flnmbing ~ 'in the perfomIaDce of which all parties hereto agree to aDd 1m:! bound by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailedto Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. COJXImeJ'\cmg work without pennit(s) will result in fees being doubled or $100.00 plus the . normal permit fee. which ever is greater. OR. if you 'are' a contractor: DarticiDatillg in the Permit FfS~AcCQU"l SvS[e.m anilJJaVe: adequate -funds., check here. . ~f yOU want this Droc<<ss#$.d through yoUr account ~ ' .. ... ,.'.. .~, <Job Address /24 u.). zL1*' A,'I< Owner daY' ',e Bel I,~ ~SiDgle Family ,Onuplex , Value' (Jac!Udfug ~and materials) 2.. S' 00 ~ 0 \ " : Date Z /20 Contractor . M e. ~o'T~\:P~l~~ br0- []Multi-FamUy ,[]Rental DComm~rCial' ~ QIJit;lustriij.:': ;':~:: :" .. Number of FIxtUres: 8aliltul> -L Wbirtpool la~ Toilet Ro. Sink Bar Sink WI. Healer o GIS 0 Elect 0 P\vrVnl ~ Floor Drain Lndiy TYB). LBb Sink Plaster Sink -L -L StcrilWls" MIse. FixtuR:S Electric Contractor :.~ ~.~~. '"..~. ::"l ~~< . : ~; i~ : s: DIsposal Dishwubm" Sump ~ ~d Water Softacr LocaJ Wute Clothc:s Wsbr Bidet Sea'TIJ> CJumn Sfrlk S~Siuk BraIam Sink Dip Well HoA: B1bs Drink Ful Will SL kc Cbm Exam SD1k Sc:ub'y Sink Hand Sink F Prep Sink Serf Sink Int ar- Tmp Eld: ~ ThIp R.P:z. VaM: S~ Sink FlrlWsl Sink . .:: . Ctll:h s.sm . WlISh Ftn , I UriDal Gar brain SodaDisp Coffee Malecr ~kcMllka Sire Drain tmof'OnUn StaMp Rce Eye WuhSIn Wtr Sewer Mil'll bcdoc:t Mctcrli 'Wtr thagc Mb'll !l1! []Electric Installation Verification form attached, (If lU:p1ace:mllllt) Use I Nature of Work br2..}t,~. r-P )~()Jt.e- Size Mahlrial Type # Sanitary' Sewer Storm Sewer Water Service Cow. Type Ij~ /\~1l0 L0P6L890(';6 , $ "'"' i L00(';/0(';/(';0 ,.,... 10 39'v'd :::13100:::1 :::I~~ PI:z;-r