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Home My WebLink About0124213-Plumbing . CITY OF OSHKOSH 9SHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 11 07 VAN BUREN AVE No 124213 Owner NICHOLAS AlJENNIFER L TABBERT Create bate 04/13/2007 Category 410 - Residential-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink Int GreaseTrap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sc~_lry 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 HOMEOWNER Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Shower Floor Drain 1 Lndry Tray _~ .Dil~P9sal 1 Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind I Use/Nature Relocate laundry to 1st floor, remodel kitchen and 2nd floor bathroom. of Work Size Material Type # Conn. Type Storm Water Parcelld # 1605330000 $56.00 0 Permit Voided I $2,000.00 Plan Approval $0.00 Permit Fees Valuation Issued By Date 04/13/2007 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied 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 plumbing 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 II work pursuant to rules governing the described construction. , ~/J#7 Signature Date Agent/Owner Address 11 07 VAN BUREN AVE OSHKOSH WI 54902 0000 Telephone Number 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. 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. <;ity of Oshkosh _ Inspection Services Division j POBoxl130 Oshkos~ VVI54903-1130 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 described, the work to conform to the VVisconsin 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 Ifvou are a contractor particivatinf! in the Permit Fee Account Svstem and have adequate funds, check here ifvou want this processed throuf!h vour account n Job Address /1(7 '~7 i-:'b::...-;g.I~alue(InCIUdinglaborandrnateriaIS(..L ,d'r:/<;? .--"- / Owner ~~: k /..-11/'-.:.4 Contractor . /:?,.,."k-1 ~ ~ingle Family DDuplex DMulti-Family DRental DCommercial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PvffVnt Shower -L.- -L -L 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 -'- Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Date 0/'-/ .1-07 DIndustrial Drink Ftn 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 RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs -L Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work ~~c~k " ~,+, - .2 .. e.I ;0c.,- ~/~ A.0 L./.. ~ '-" / - Type # hl-'\J Size Material Sanitary Sewer Storm Sewer VV ater Service Conn. Type 11/05