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HomeMy WebLinkAbout0124178-Plumbing (2nd flr bath) G OSHKOSH ON THE WATER Job Address 1132 SCHOOL AVE CITY OF OSHKOSH No 124178 PLUMBING PERMIT.. APPLICATION AND RECORD Owner SECRETARY OF HOUSING & URBAN DEVELO Create Date 04/11/2007 i Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work 1 1 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Category 410 - Residential-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Flr/Wst Sink Int Grease Trap 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 Contractor SBS PLUMBING LLC SFR I Repipe upstairs bathroom to cross, re-using fixtures. **DEBIT ACCT**. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0205240000 $25.00 D Permit Voided $1,200.00 Plan Approval $0.00 Permit Fees Valuation Issued By ~ Date 04/11/2007 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 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 4635 RED FOX RD OSHKOSH WI 54904 -7784 Telephone Number 920-410-5933 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Perrrlit 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 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 descnoed, 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 $100.00 plus the normal permit fee, which ever is greater. OR I e Account S stem and have ade uate unds check here Job Address//3' z. ~O(>l.. S7. Owner ~l;:)h. t!.OZMAA/ ~gle Family DDuplex Value (Including labor and materials) ~ ~. =:!? Contractor S""..6'S. Pu.-14,B1N6 DMulti-Family DRental DCommercial Date ~PI Number of Fixtures: Bathtub I Whirlpool Lavatory Toilet -L- -'-- Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Dlndustrial Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs DrinkFtn Catch Basin Wait. St Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Seulry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comrn. Ice Maker ServSink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor Jvs; R4--P~Jh(. VjP!Or..fJ41 g>;(;7* 7i- {'o"/:P 5 J ;!.z. - u$JJvc. (:;" .f'Il.IIf.,<is OR DElectric Installation Verification form attacbed (If Rep1acernent) Use I Nature of Work Conn. Type Sanitary Sewer Storm Sewer Water Service Size Material Type #