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Home My WebLink About0124097-Plumbing . OSHKOSH ON THE WATER Job Address 357 W 16TH AVE CITY OF OSHKOSH No 124097 PLUMBING PERMIT - APPLICATION AND RECORD Owner DONALD D/SARAH A BAEHMAN C eate Date 04/05/2007 Contractor WELLNITZ PLUMBING Category 410 - Residential-I nterior Pan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Gri nd Water Softner' Wait. St. Shamp Sink Local Waste , Ice Chest Flr/Wst Sink Clothes Wshr Exam Sink Catch Basin Bidet Sculry Sink Wash Ftn Beer Tap Hand Sink Urinal Lab Sink Plaster Sink Standp Rec Sterilizer Surgeons Sink Ice Maker Dip Well F Prep Sink Gar Drain Drink Ftn Serv Sink Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye WashStatn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Use/Nature Add 1/2 bath to 1st floor. **debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0904850000 Valuation $990.00 Plan Approval $0.00 Permit Fees $25.00 D Permit Voidedl Issued By Date 04/05/2007 , l 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 w rk 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 4810 AMBERWOOD LN APPLETON WI 54915 - 0000 Telephone Number (0)231-7390 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per mit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), )lour Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is ;~ceived. Work may continue if the inspection is not performed within two business days from the time the project is reatly. City of Oshkosh Inspc,ttion Services Division PO Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ (J)fHKOfH ON THE WATER Plumbing Permit Application I hereby apply fo.r a permit to do and ins.tall the following plumbing on the premises hereinafter deSCribe~, e work to cooform to the Wisconsin State Plumbing Code, in the performance ofwmch all parties hereto agree to and are bo d by said statutes, . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to fuspection Se 'ces, PO Box 1128, Oshkosh WI 54903-1128, Corom encing work without pemn't(s) will result in fees being dOU[led or $100,00 plus the normal permit fee, which ever is greater. OR I( you are a contractor varticivatinf! in the Permit Fee Account System and have adeq ate funds, check here it }!.ou want this processed throuf!h your account p Job Address 3 S""? vJ) 6.4-,,( C;de . Value (Including labor and materials) Owner ~/'~ 5/Vled k Contractor []single Family DDuplex DMulti-Family DRental Date ';/-:5=?J ~ ;tG /If &.;J DCommercial Dlndustrial Number of Fixtures: Surgeons Sink Breaknn Sink Dip Well Hose Bibs DrinkFm 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 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt I I -L Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Clothes Wshr Bidet Beer Tap Classrm Sink Use I Nature of Work II cld;v~ -k: DElec.tric Installation Ver[fica. tion form attached (If Replacement) f~ &.;.). rDl)JN1 / / I H !/vK . / . Electric Contractor OR Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 11/05