HomeMy WebLinkAbout0123909-Plumbing (bathroom)
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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