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Home My WebLink About0124517-Plumbing (bathroom) to OSHKOSH ON THE WATER Job Address 1204 GLEN AVE CITY OF OSHKOSH No 124517 PLUMBING PERMIT - APPLICATION AND RECORD Contractor OWNER Owner MICHAEL R1KRISTINE J RACER 1 1 Shower Floor Drain Lndry Tray Disposal 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 Create Date 04/30/2007 Category 410 - Residential-Interior Plan Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature SFR / Replace toilet & sink and remove and replace tiles in shower and fixtures. Replace flooring. of Work Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type Parcel Id # 0610040000 $1,000.00 Plan Approval ~ $0.00 Permit Fees $25.00 0 Permit Voided I Date 04/30/2007 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 e~sement hOldZtr ) and to secure a~ nece~ry approvals before starting such activity. Signature _/VVl/1 II ' _ Date ......... v Agent/Owner OSHKOSH WI 54902 - 5629 Telephone Number Address 1204 GLEN AVE 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 (f) 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 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 in the Permit Fee Account S stem and have ade our account Job Address-109i . G [t2t.-, /}VJL Owner M i b-. ~ Dnuplex DMulti-Family ~ingle Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 P"\VfVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures +- ~ f-- Electric Contractor Valne (lno!""in, !,boc md ",""",ol~ .. \ i Ot/ C) 1 Date i '-JtJJ .() ? Contractor DRental DCommercial 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. SI. 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 Ex! Grease Trap Standp Rec RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Use /Nature of Work ~~ Sanitary Sewer Storm Sewer Size Material Type # Conn. Type Water Service n/05