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HomeMy WebLinkAbout0124436-Plumbing . OSHKOSH " ON THE WATER Job Address 936 W 11TH AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner IRENE M HABLE Contractor KOCH PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Category 410 - Residential-Interior No 124436 Create Date 04/26/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs SFR / REMODEL BATHROOM AND ADD DISHWASHER ""debt acct Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1302920000 Address 2005 DOTY ST Shower Floor Drain 1 Lndry Tray 1 Disposal 1 Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Standp Rec Ice Maker Gar Drain Soda Disp Wait. St. Ice Chest Exam Sink Shamp Sink o FlrlWst Sink Catch Basin Wash Ftn Urinal Date 04/26/2007 Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink $4,000.00 Plan Approval $0.00 Permit Fees $35.00 D 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 AgenVOwner OSHKOSH WI 54902 - 7040 Telephone Number 920-231-6661 or 235 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. ~r 26 ~7 09,412 .~ City of Oshkosh Y "Inspection Services Division P 0 Box 1130 O"hkosh, WI 54903-1130 Phone: (920) 236-505Q Fax: (920) 236-5084 Clarence Koch (920) 235-0282 10.1 ~ OfHKOfH ON Ti-'E WATER Plumbing PermitApplication Job Address 13C, W IlztI;4, Owner ~fI.N i#/ LSO..-v ~ingle Family DDuplex Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breaknn Sink Dip Well Hose Bips 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, inthe perfonnance ofwmch all parties hereto agree to and are bound by said statutes. Electric Contractor . 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 e~er is greater. OR ' lfvou are a contractor lJartici7Jatin,? in the Permit Fee Account System and have adequate funds. check here ifvou want this processed throuf!h your account IX] Value (Including labor and materials) 4tJaJ ~ e a/I ' /cttS~ Date 4 -z~ -0, , Contractor DMulti- Family DCommercial Dlndustrial DR ental -.L DrinkFtn Wait.St. ~ lee ~ M A tt/5/1.. ~Smk _____ Catch Basin Wash Fin Urinal Gar Drain Soda Disp Coffee Maker Number of Fixtures: Bathtub -L Whirlpool Lavatory Toilet Res. Sink Bar Sink -L -L -L Water Heater o Gas J Elect 0 Pm-Vnt Shower Floor Drain Lndry Tray Lab Sink, Plaster Sink Sterilizer. Misc. Fixtures Sculry Sink Hand Sink F Prep Sink Serv Sink lnt Grease Trap Ext Grease Trap R.P.Z. Valve Shamp Sink FlrlWst Sink Comm. lee Maker Site Drain Roof Drain Standp Rec Eye Wash Sm Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs OR []Electric Installation Verification form attached (If Replacement) Use / Nature of Work Sanitary Sewer Storm Sewer Water Service 1?~~P~nc:. gA'~~~ ,14 ttJ gO' / ."r ,. .', ~""~. v" 1"". . l' <"...cr<~~' '", l" "'~''''<'''',' .';...p> ~ ....,. *' . ( Wi' ~ ," ~",r",~ Size Material J..< r. Type Conn. Type UfOS .~~-