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OSHKOSH
ON THE WATER
Job Address 705 W NEW YORK AVE
Contractor WELLNITZ PLUMBING
CITY OF OSHKOSH
No 124369
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOSEPH P/JENNIFER J GELHAR
Shower
Floor Drain
Lndry Tray
Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
1
1
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Create Date 04/19/2007
Category 410 - R~idential-Interior
Plan
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp 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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature FRlKitchen remodel" to include removing a wall and installing a header to carry the load from the floor above, new cabinets and
of Work untertops, removing and replacing drywall.
Valuation
Sanitary Sewer
Size
Storm Sewer
Water Service
$3,200.00 Plan Approval
Material
$0.00 Permit Fees
Type
#
Conn. Type
Parcelld #
0502860000
Date 04/23/2007
Issued By
$25.00 0 Permit Voided I
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 4810 AMBERWOOD LN APPLETON WI~91? - 0000 Telephone Number (O)231=73~0
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
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 descnbed, 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) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I in the Permit F e Account S stem and have ade uate unds check here
our account
Job Address 70..$- tJ ;tie vJ I.j or I(
""
~e Ge/AGr~
[ZlSingle Family DDuplex
Value (Including labor and materials) 3,;20CJ.O-D Date ~/-;2J-07
pl.;J. 5';,>"1 op) so~ uJe /~:..j..z.. f1.;M~
DCommercial DIndustrial
Owner
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Use / Nature of Work
Contractor
DMulti-Family
DRental
Disposal ~ DrinkFtn Catch Basin
Dishwasher -'- Wait. St. Wash Ftn
Sump Pump Ice Chest Urinal
Ejector/Grind Exam Sink Gar Drain
Water Softner Sculry Sink Soda Disp
Local Waste Hand Sink Coffee Maker
Clothes Wshr F Prep Sink Comm. Ice Maker
Bidet Serv Sink Site Drain
Beer Tap Int Grease Trap Roof Drain
Classrm Sink Ext Grease Trap - Standp Rec
Surgeons Sink R.P.Z. Valve Eye Wash Stn
Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Dip Well Flr/Wst Sink Deduct Meters
Hose Bibs Wtr Usage Mtrs
OR
DElectric Installation V erification f~rm attached
(If Replacement)
t,,-fcJ...e,J l?g /VLO ell? /
,
Sanitary Sewer
Size
Material
Type
#
Conn. Type
Storm Sewer
Water Service
11/05