HomeMy WebLinkAbout0123822-Plumbing (water lines)
G
OSHKOSH
ON THE WATER
Job Address 1214 W 6TH AVE
CITY OF OSHKOSH
No
123822
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner DIANNA M GRIESSAUM 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
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor SSS PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UsefNature SFR! REPIPE WATER LINES IN THE BASEMENT *'debt acct
of Work
Size
Material
Conn. Type
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0609720000
Plan Approval
$0.00
$25.00 D Permit Voided I
Permit Fees
Valuation $3,~00
Issued By 15YY\
Date 03/16/2007
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 4635 RED FOX RD
OSHKOSH
WI 54904 - 7784 Telephone Number 920-410-5933
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
MAR 'j 5 2001
~
OJHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnoed, 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I
,$ cp
Value (Including labor and materials) S $e>o- --
Date ~ 3/0"7
Owner
NA1'i-
Job Address j.:J/Cf M c,~ 57.
SibS "f><-v)o.lhND
~Single Family
Number of Fixtures:
Bathtub /
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
-'--
-L-
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
DDuplex
Contractor
DMulti-Family
DIndustrial
DRental
DCommercial
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
DrinkFtn
Wait. St
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
RP.Z. Valve
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash 8tn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Misc.
Fixtures tC...rL lA.I)'" 6L UI'~1IJI>'6 R'J~ Hoi- t.."'1"'f"-
Electric Contractor
Use I Nature of Work
'5vrp/v CJN'Ls 'To INC"~Sf.;; C'Q.:\~.>,
t
OR DElectric Installation Verification form attached
(If Replacement)
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#