HomeMy WebLinkAbout0123792-Plumbing (repipe meters)
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OSHKOSH
ON THE WATER
Job Address 644 BOYD ST
CITY OF OSHKOSH
No
123792
PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JASON J ZIMMERMANN Create Date 03/14/2007
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
SterUizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs 2
Drink Ftn Serv Sink Soda Disp
Contractor DRUCKS PLUMBING
Repipe water meters.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1101840000
$720.00 Plan Approval
$0.00 Permit Fees
$25.00 D Permit Voided I
Valuation
Issued By Date 03/14/2007
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 ithin an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secur. an ecessary approvals before starting such activity.
Signature Date .? ~ /r- If 7
Agent/Owner
Address PO BOX 355
MENASHA
WI 54952 - 0000 Telephone Number 426-2654
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.
City of Oshkosh
Inspd?tionServices 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) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a. contractor oarticipating in the Permit Fee Account System and have adequate funds. check here
if you want this processed throu'Zh your account n
Job Address 61'1 IPJ/I rl
Owner Z';MM~/IA-'
DSingle Family ~DuPlex
Value (Including labor and materials) 2dJ.-O. #
Contractor I) il-t4f
DMulti-Family DRental DCommercial
Date] .-/'1- 07
DIndustrial
Number of Fixtures:
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Corom. 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 2
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Electric Contractor
OR
DElectric Installation Verification f~rm attached
(If Replacement)
Use / Nature of Work
~e/I"p~
/ r
1~4--f-b- /l~~/
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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