The URL can be used to link to this page

Home My WebLink About0124102-Plumbing (sump) G OSHKOSH ON THE WATER Job Address 637 JEFFERSON ST CITY OF OSHKOSH No 124102 PLUMBING PERMIT - APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Water Softner Local Waste Clothes Wshr Wait. St. Ice Chest Exam Sink Shamp Sink Flr/Wst Sink Catch Basin leate Date 04/05/2007 P,lan _ _I Coffee M.... _lint GreaseTrap , Ext Grease Trap Owner RAMSEY/BARBARA A KAGAK Contractor HOMEOWNER Category 410 - Residential-I nterior - - - - - - Disposal Bidet Sculry Sink Wash Ftn RPZ Valve - - - - - - 1 Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn - - - - - - Sump Pump 1 Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs - - - - - - Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters - - - - - - Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs - - - - - - Ejector/Grind Drink Ftn Serv Sink Soda Disp - - -I I Install clearwater sump and repipe kitchen sink per correction notice. Size Material Type # Conn. Type Storm Water - - - - - - - - Parcel Id # 0402190000 Valuation $300.00 Plan Approval $0.00 Permit Fees $25.00 D Permit VOided II L Date 04/05/2007 Issued By The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occuPibd as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that otherlindividuals 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 perfo~ce of this work, I, agye to perform all work pursuant to rules governing the described construction. Slgnatur~ ~ ~~ ~ '\! AJJt....... Date 1...( I 5/ Ol- \ Agent/Owner Address 637 JEFFERSON ST OSHKOSH WI 54901 0000 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 110ting the Address, PerJ,it Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), ~b-ur Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is rdceived. Work may continue if the inspection is not performed within two business days from the time the project is rea~y. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you @erform the work described in this permit application within an easement, the City strongly urges the permit i:lpplicant to contabt the easement holder(s) and to secure any necessary approvals before starting such activity. City or Oshkosh Inspection Services Division . PO Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ (]fHKOfH ON THE.WATER Plumbing Permit Application I hereby apply f", a permit to do and install the followmg plumbing on the premises hereinafter deSCObe1d,the wo,k to coofonn to the Wisconsin State Plumbing Code, in the performance of which 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 Inspection Se tces, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) win result in fees being dOl\bled or $100.00 plus the normal permit fee, which ever is greater. l OR Ifvou tire a contractor varticipatine in the Permit Fee Account System and have adeq ate funds. check here if you want this processed throuzh your account n Valu e (Including labor and materialsl l1 ' 6tJ Datec{ I f; I Ul Job Address {90\ Z\--e ~J) c'S/V\ S-if- Owner ~G.XY\:SOA~ +f)1r~4l~~QL Contractor ~Single Family DDuplex DMulti-Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink -X-- -+- Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Surgeons Sink Breakrm Sink Dip Well Hose Bibs DRental I DCommerciali DIndustrial 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 Electric Contractor OR DElectric Installation Venfication form attached (If Replacement) I Hi..,) _11/7 ~~ cJ://'~ /~/l~. / Use / Nature of Work /~1~ i;:J- Size Material Sanitary Sewer Storm Sewer Water Service 1/1 Type # Conn. Type 11/05