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Home My WebLink About0123616-Plumbing (bath remodel) .. CITY OF OSHKOSH OSI-jKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1990 S WESTHAVEN DR No 123616 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner KIMBERLY A DIGIORGIO Create Date 02/22/2007 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 Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Contractor WELLNITZ PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Bathroom remodel and install new power vent water heater. **debit acct Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1315700000 $3,000.00 $0.00 $25.00 D Permit Voided I Plan Approval Permit Fees Date 02/26/2007 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 0 se e any necessary approvals before starting such activity. Signature (". Date ,;;2--.J.6 - t:> '? Agent/Owner Address 4810 AMBERWOOD LN APPLETON WI 54915 - 0000 Telephone Number (0)231-7390 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. City:of Oshkosh Inspection 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 permit(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 varticipatinf! in the Permit Fee Account System and have adequate funds. check here ifvou want this processed throuf?h your account n Job Address )r1~ l.;JesfA9iJL'';) flt, Owner Ro.;J ptlk,- ~ingle Family Dnuplex Number of Fixtures: Bathtub L Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater ---L--. r:pGas 0 Elect ~wrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use / Nature of Work Value (Including labor and materials) ~OO. tJO Dat~-:-...2t.c?? iJel!4':YZ. P/vfl1A/~ DCommercial DIndustrial Contractor DMulti-Family DRental Disposal DrinkFtn Catch Basin Dishwasher Wait.St Wash Ftn Sump Pump Ice Chest Urinal Ejector/Grind Exam Sink Gar Drain Water Softner Sculry Sink Soda Disp Local Waste Hand Sink Coffee Maker Clothes Wshr F Prep Sink Comm. Ice Maker Bidet Serv Sink Site Drain Beer Tap Int Grease Trap Roof Drain Classrm Sink Ext Grease Trap Standp Rec Surgeons Sink R.P.Z. Valve Eye Wash Stn Breakrm Sink Shamp Sink Wtr Sewer Mtrs Dip Well Flr/Wst Sink Deduct Meters Hose Bibs Wtr Usage Mtrs OR DElectric Installation Verification fo'rm attached (If Replacement) ~..j. It r DO ;VI R; MoeI k Sanitary Sewer Conn. Type Storm Sewer Water Service Size Material Type # 11/05