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Home My WebLink About0124005-Plumbing e OSHK~jSH ON THE WATER Job Address 914 OTTER AVE CITY OF OSHKOSH No 124005 PLUMBING PERMIT.. APPLICATION AND RECORD Contractor Category 410 - Residential-Interior Owner ADAM E/TABITHA E LAJOIE Create Date 04/02/2007 Plan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature SFRI Kitchen Remodel *Gutting the kitchen and installing new insulation, drywall, cabinets, countertops, and fl oring. A new window will of Work Iso be installed. HOMEOWNER 1 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Gri nd Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker , Gar Drain Soda Disp Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Wait. St. Ice Chest Exam Sink Sculry Sin~. Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Size Material Type # Conn. Type Storm Water Valuation $1,100.00 Plan Approval $25.00 D Permit Voided I $0.00 Permit Fees Issued By Coffee Maker Int GreaseTrap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Parcelld # 0203100000 Date 04/02/2007 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupi d 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 lumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. 4cJe~ - . AgenUOwner Address 914 OTTER AVE OSHKOSH Signature Date () () v:}() n -, 0 WI 54901 5445 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per it Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y ur Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is re eived. Work may continue if the inspection is not performed within two business days from the time the project is read . While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you p rform the work described in this permit application within an easement, the City strongly urges the permit applicant to conta t the easement holder(s) and to secure any necessary approvals before starting such activity. ~ ifHKOfH >> City of Oshkosh Inspi,ctlon Services Division P O.3ox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 jig 5); fJ<PrJ-L "- '.... <f. I hereby apply for a permit to do and install the following plumbing on the premises hereinafter describe , the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are b und by said statutes. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S Oshkosh WI 54903-1128. Commencing work without permit(s) win result in fees being d normal permit fee, which ever is greater. OR I ou are a contractor arUci atin in the Permit Fee Account S stem and have ade uate unds check here if vou want this TJrocessed through vour account n . (~); ~'6,,:6?-"- ~:)O -1'\'309~ \ ('Of'Vte b. (L('/, ~e I evedrf YVl- F. Plumbing Permit Application Value (Including labor and l\ll1terials) 1 c{1 t:h tJ l(Eontractor DMulti-Family DRental Job Address Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Dr3in Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures -L Electric Contractor -Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr .Bidet Beer Tap Classrm Sink Surgeons Sink Brealam Sink Dip Wen Hose Bibs / -xl ON THE WATER . ces, PO Box 1128, bled or $100.00 plus the Date L!"{Jr() ~ Dlndustrial 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 OR DElectric Installation Ve ification f~rm attached (If Replacement) Use I Nature of Work f1", Sanitary Sewer Storm Sewer Water Service h.'O ( K Size Material Type # Conn. Type U/05