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
#