HomeMy WebLinkAbout0124914-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1856 MINNESOTA ST
CITY OF OSHKOSH
No
124914
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RANDALL S SCHMIEDEL Create Date OS/22/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrfWst 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
Contractor WELLNITZ PLUMBING
Bathtub Shower
Whirlpool Floor Drain
Lavatory 1 Lndry Tray
-
Toilet 1 Disposal
Res. Sink 1 Dishwasher
Bar Sink Sump Pump
Water Heater Classrm Sink
Site Drain Breakrm Sink
Roof Drain Ejector/Grind
Misc. hose bib
Fixtures
Use/Nature
of Work
SFR / BATHROOM AND KITCHEN REMODEL .-debt acct
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1405310000
Plan Approval
$0.00
$49.00 0 Permit Voided I
Permit Fees
ValuatIon . $3.000;5
Issued By ~(D
Date OS/22/2007
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
e~sement ha ~e any necessary approvals before starting such activity.
Signature . ~
, Agent/Owner
Date
S=,;,?;2- Oj~
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 (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 Applicatio~
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 ofwmch 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
I in the Permit F e Account S stem and have ade uate unds check here
our account
Job Address /qS(;~ ;11/;J,,Jt:l~ Value (Including labor and materials) S:CX:'7C). 06 Dat~::..2...:?-07
Owner FY~k// I?of'erl.,~e:.; Contractor fA.)p/~;/z- />/v/'///e:;:J
~ingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial
Number of Fixtures:
I
Bathtub
Whirlpool
-L
1-
-1-
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain ~
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin
-L 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
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
,Flr/Wst Sink Deduct Meters
~ Wtr Usage Mtrs
OR
DElectric Installation V erification f~rm attached
(If Replacement)
Use / Nature of Work
'J5:;-+A. - K.' +c J e'..J A G-"~l ~,d-c
Sanitary Sewer
Type
#
Conn. Type
Storm Sewer
Water Service
Size
Material
11/05