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HomeMy WebLinkAbout0123909-Plumbing (bathroom) 0- .~ OSHKOSH ON THE WATER Job Address 327 W 15TH AVE Contractor Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures CITY OF OSHKOSH No 123909 PLUMBING PERMIT - APPLICATION AND RECORD HOMEOWNER Owner BRETT E MOLASH Create Date 03/23/2007 Category 410 - Residential-I nterior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink Int GreaseTrap 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 Shower Floor Drain 2 Lndry Tray 2 Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind I Use/Nature Remodel single bathroom into 2 separate bathrooms. Water calculations shall be provided to Plumbing Inspector for sizing water of Work distribution. Valuation Issued By Size Material Type # Conn. Type Storm Water Parcelld # 0904670000 $2,200.00 Plan Approval $0.00 Permit Fees $42.00 D Permit Voided I Date 03/23/2007 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the performance of this work, l,aglfe, to perform all work pursuant to rules governing the described construction. Signature J5. ~ 1~ Date Agent/Owner 3 -;1. '5 -Of OSHKOSH ~ 54902 0000 Telephone Number Address 327 W 15TH AVE 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. 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. 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, POBox 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 vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here if vou want this processed through vour account n Job Address 3;Al Owner \$r.eH ~ingle Family 'W. t S-rt. lfI~ j, r t. r WI Uli.-!:::;,ji \ DDuplex Value (Including labor and materials) ~r}.. 00 Contractor ,/~C{/"'/AA:../"" DMulti-Family DRental DCommercial Date J-:-~J-(J7 Dlndustrial Number of Fixtures: Bathtub ~I Disposal Whirlpool Dishwasher Lavatory 4 Sump Pump Toilet ~ Ejector/Grind Res. Sink 1 Water Softner Bar Sink Local Waste Water Heater Clothes Wshr o Gas 0 Elect 0 PwrVnt Bidet Shower L! Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Electric Contractor Nc'l\.Q. OR 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 Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs DElectric Installation Verification f~rmattached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer l Water Service 11/05