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Home My WebLink About0124803-Plumbing G OSHKOSH ON THE WATER Job Address 515 ANNEX AVE CITY OF OSHKOSH No 124803 PLUMBING PERMIT - APPLICATION AND RECORD 1 1 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner JOHN J/KRISTINE L SELK Create Date 05/15/2007 Category 410 - Residential-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Flr/Wst 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 Contralctor WELLNITZ PLUMBING 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 hold ) and to ure any necessary approvals before starting such activity. r . Bathtu b Whirlpool Lavatctry Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Signature SFRI Finish a 1/2 bathroom in the basement" Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1208340000 --~ Plan Approval $0.00 $25.00 0 Permit Voided I Permit Fees Date 05/16/2007 -.5-- /.6: 07 , Date Agent/Owner APPLETON WI 54915 - 0000 Telephone Number (0)231-7390 Address 4810 AMBERWOOD LN 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 ~ 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 If vou are a contractor oarticipating in the Permit Fee Account Svstem and have adequate funds. check here if vou want this orocessed throuzh vour account ~ .J ob Address S {S-- A.,uiJey . Au e DDuplex Value (Including labor and materials),;2 ,/00. c>c:> vJ e I/rz), . -fz.- DRental Date 5--=-/6'-07 Owner [~ingle Family Contractor ,P/V /"1 6 "-~;J DCommercial DIndustrial DMulti-Family Number of Fixtures: Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Surgeons Sink Breakrm Sink Dip Well Hose Bibs DrinkFtn Catch Basin Wait. St. 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 lnt Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FlrfWst Sink Deduct Meters Wtr Usage Mtrs Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt ~ -I- Disposal Dishwasher Sump Pump Ejector/Grind Water Sellner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Shower Floor Drain Electric Contractor OR DElectric Installation Verification fo'rm attached (If Replacement) Use / Nature of Work .~ .R~+/"'CJO/"1 r~. Bq.se,~e,v-l- Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 11/05