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': e CITY OF OSHKOSH No 123657
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 821 E PARKWAY AVE Owner ANDREW T GRAF Create Date 03/02/2007
Contractor THOMAS PLUMBING
Bathtub Shower Water Softner
Whirlpool Floor Drain Local Waste
Lavatory 2 Lndry Tray Clothes Wshr
-
Toilet 2 Disposal 1 Bidet
,.....-.".... .... ._,,~''',. ,. ,- ", .......-..,
Res. Sink 2 Dishwasher 1 Beer Tap
-
Bar Sink 1 Sump Pump Lab Sink
Water Heater Classrm Sink Sterilizer
Site Drain Breakrm Sink Dip Well
Roof Drain Ejector/Grind Drink Ftn
Misc.
Fixtures
Category 410 - Residential-Interior
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 Rec
Ice Maker
Gar Drain
Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
....EyeWasl1.Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Use/Nature Duplex! Upper and lower kitchen and bathroom remodel
of Work
Size
Sanitary Sewer
Storm Sewer
Water Service
Material
Type
#
Conn. Type
Valuation
$2,500.00
Parcel Id #
1103120000
$77.00 D Permit Voided I
$0.00 Permit Fees
Plan Approval
Issued By
Date 03/0212007
In the 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 holde $) a d to secure any n sary approvals before starting such activity.
Signature
Address 849 VINE ST
Oshkosh
Date
3'"' 2~~7
WI 54901 - 0000 Telephone Number 232-0094
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
tP 0 Box 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) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If YOU are a contractor participatinf! in the Permit Fee Account System and have adequate funds. check here
if YOU want this processed throuf!h your account n
Job Address P2/ E f3vklJ.hf/
Owner If Ad,! 6 r a" -f I Contractor
DSingle Family l8lnuplex DMulti-Family
Number of Fixtures:
Bathtub U
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
----.Z-
~Z
2-
-L
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower t .:K!!f
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrrn Sink
Dip Well
Hose Bibs
Value (Including labor and materials) Se7l>, 6b
~ PiI'
/ ~as iJtk-bllit
. I'
DCommercial
Yki
~I
Date ~- 2-0 7
DRental
Dlndustrial
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. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP.z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Electric Contractor
OR
DElectric Installation Verification f~rm attached
(If Replacement)
~
Use / Nature of Work fl,JI'/.A. ,hr h{j-
Type
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
#
n/05