HomeMy WebLinkAbout0124655-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1917 SIMPSON ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LYNN A1PATRICIA K KRAUS
Contractor
HOMEOWNER
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower
Floor Drain
1 Lndry Tray
1 Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
I
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
.; ., Hand Sink Urinal
Beer Tap
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Use/Nature SFRI Bathroom remodel* to include relocating fixtures, tile floor.
of Work
Valuation
No 124655
Create Date 05/07/2007
Plan
Coffee Maker
Int GreaseTrap
Ext Grease Trap
RPZ Valve
Eye Wash Statn.
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Storm Water
Size
Material
Type
#
Conn. Type
$700.00 Plan Approval
Parcelld #
1409340000
Issued By ~
Date 05/07/2007
l I
The undersigned, {n 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 performaJ'1P8 of th~v.1ork, I agree to perform all work pursuant to rules governing the described construction.
f0r:0~'. '-./.
Signature t:: /' ~ 1~~.-?-~:7----- . Date
/ '
Agent/Owner
Address 1917 SIMPSON ST
$0.00 Permit Fees
$25.00 D Permit Voided I
OSHKOSH
~ 54902 6844 Telephone Number
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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.