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Home My WebLink About0124100-Plumbing (bath remodel) o~ OSHKOSH ON THE WATER Job Address 1307 WESTERN ST Contractor FREEMONT PLUMBING & HEATING CITY OF OSHKOSH No 124100 PLUMBING PERMIT - APPLICATION AND RECORD Category 410 - Residential-Interior Owner SHARON A MUELLER Create Date 04/04/2007 Plan Bathtub 0 Shower Water Softner Whirlpool Floor Drain Local Waste Lavatory 1 Lndry Tray Clothes Wshr - Toilet 1 Disposal Bidet Res. Sink Dishwasher Beer Tap Bar Sink Sump Pump Lab Sink Water Heater Classrm Sink Sterilizer Site Drain Breakrm Sink Dip Well Roof Drain Ejector/Grind Drink Ftn Misc. Fixtures Wait. St. Ice Chest Exam Sink Sculry Sink Hanel Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Sh~mp Sink _ Flrlwst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Bathroom remodel/ No structural work, only wall area to be opened is for plumbing access. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1203370000 Use/Nature of Work Valuation $1,200.00 Plan Approval $0.00 Permit Fees Issued By $25.00 0 Permit Voided I Date 04/05/2007 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 work j described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement hol an to secure an~ necessary approvals before starting such activity. Signature Address PO BOX 216 ;A.gent/Owner FREEMONT WI 54940 - 0000 Telephone Number 920-446-3656 Date -i -- ~67 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. 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. City of Oshkosh Inspection Services Division P 0 ~ox 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 pennit 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, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If YOU are a contractor participatinf! in the Permit Fee Account System and have adequate funds. check here if you want this processed throuzh your account n Job Address )3 {)7 Valu e (Including labor and materials) ):;<, 0 0 ~ c:!JP PJ?edJ6.)? -f ?J.Bcr. r DRental DCommercial Contractor DateJ.)--6=d7 ~JH-G- Dlndustrial LJe SJ-e!-J>J7 ShdP.or7 Mu))e..p , ~Single Family DDuplex DMulti-Family Owner Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink ~ ->L Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classnn Sink 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 Water Heater o Gas 0 Elect 0 PwrVnt Shower -A.- Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Surgeons Sink Breakrm Sink Dip Well Hose Bibs Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work J? e;, <P )d/: .e.. t (7,-;; 1"5 tJf?j ~b ~[fh >>.e2J ~iL)e.r Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service ("" P J-'''' ~ ) ).,1 11/05