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HomeMy WebLinkAbout0124743-Plumbing (interior) o CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2117 MOUNT VERNON ST No 124743 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind 2 hose bibs Owner DEWEY HOMES INC Create Date 04/27/2007 -----.-----.----- Category 410 - Residential-I nterior 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 Shlk 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 Contractor SBS PLUMBING LLC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature NSFRI New single family, one story, 2 car attached garage anc{1-2'"x.12' patio, with a gas power vent water heater. "check#5663 of Work 2 1 3 3 1 , Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1515980000 $0.00 $133.00 D Permit Voided I Valuation $5,860.00 Plan Approval Issued By ~ Permit Fees 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 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 OSHKOSH Address 4635 RED FOX RD ___ VVI.54904 - 7784 Telephone Number 920-410-5933 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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 REC IVED@ MAYIOZ007 ~ DEPARTMENT OF OfHKOfH COMMUNITY DEVELOPMENT ON THE WATER INSPECTION SERVICES DIVISION 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. - I · 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 participating in the Permit Fee Account System and have adequate funds. check here if you want this processed through your account \.Xl Job Address 2. / {1") fYlf. Verno.... Date 5/<6/oVJ Owner 7:1'-'\ r1,. L'1 (" ~"" ~Single Family DDuplex Number of Fixtures: \ Bathtub Whirlpool Lavatory Toilet 3 -2- I Res. Sink Bar Sink Water Heater I 'tJ Gas 0 Elect ~PwrVnt Shower ~ Floor Drain I Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use I Nature of Work Sanitary Sewer Storm Sewer Water Service Value (Including labor and materials) 51'3 (CJ. 00 Contractor 5 BS DMulti-Family []Rental Pl.....b~ L.t..c DCommercial Dlndustrial Disposal DrinkFtn Catch Basin Dishwasher I Wait. St Wash Ftn - Sump Pump I Ice Chest Urinal Ejector/Grind Exam Sink Gar Drain Water Softner Sculry Sink Soda Disp Local Waste Hand Sink Coffee Maker Clothes Wshr FPrep Sink Comm. lee Maker Bidet Serv Sink Site Drain Beer Tap Int Grease Trap Roof Drain Classrm Sink Ext Grease Trap Standp Rec Surgeons Sink RP.Z. Valve Eye Wash Stn Breakrm Sink Shamp Sink Wtr Sewer Mtrs Dip Well FlrlWst Sink Deduct Meters Hose Bibs Z- Wtr Usage Mtrs - OR DElectric Installation Verification form attached (If Replacement) Size ?/w..b/ Material Conn. Type Type #