HomeMy WebLinkAbout0124727-Plumbing (bathroom remodel)
e
OSHKOSH
ON THE WATER
Job Address 826 ELMWOOD AVE
Contractor THOMAS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
No
124727
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner MARK R STADLER Create Date 05/10/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry 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
~SFR / Moving & replacing bathroom fixtures.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0505070000
$400.00 Plan Approval
~
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 05/10/2007
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 . ermit application within an easement, the City strongly urges the permit applicant to contact the
easement ho der.(s and to secure any n sary approvals before starting such activity.
Signature CiYJ.--.
Address
Date
:>/;o!o 7
I I
849 VINE ST
AgenUOwner
Oshkosh
232-0094
WI 54901 - 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.
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 described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which allparties 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
If yOU are a contractor participatine in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed throueh your account n
Job Address oz-ro [( (\A..W6E> cl
~~11 r f-:. Siu.cL \e y-
~Single Family ~
-,
Value (Including labor and materials) elM '\ oD
~ flvlIl"-,b,
Date 5/; D /67
,
Owner
Contractor
DMulti-Family
DRental
DCommercial
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res, Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwTVnt
Shower X.
~
1.-
Disposal DiinkFtn Catch Basin
Dishwasher WaitSt. 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 RPZ Valve Eye Wash Stn
Breaknn Sink Shamp Sink Wtr Sewer Mtrs
Dip Well Flr/Wst Sink Deduct Meters
Hose Bibs Wtr Usage Mtrs
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
DElectric Installation Verification fo'rm attached
(If Replacement)
b~-thrOD/1A. -0'biure5 and
OR
I:-
Use / Nature ofWork~ t\l\oulkj
, I
C-ha Jli9'\lI\,5
1-b
i'lQ.~,
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
11/05