HomeMy WebLinkAbout0125048-Plumbing
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OSHKOSH
ON THE WATER
Job Address 525 W 17TH AVE
CITY OF OSHKOSH
No
125048
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor STEVE RETTLER
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
2 Shower
Floor Drain
3 Lndry Tray
4 Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd
2 silcocks
1
1
1
o
1
1
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Owner LISA M VOSS
Category 410 - Residential-Interior
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date 04/17/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
NSFR/1 story home interior plumbing, "A" value is 21.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1404210000
Valuation
Issued By
$7,000.00 Plan Approval
$0.00 Permit Fees
$140.00 0 Permit Voided I
Date 05/30/2007
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 hold s and to secure any nec ry app vals before starting such activity.
Signature W. I Date S,.7o - D '7
Agent/Owner
Address 600 FIELD CREST LN
BLACK CREEK
WI 54106 - 0000 Telephone Number 920-894-3914
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.
,;P.
Metnomndum
Date: 05/14/2007
I, STEVE RETTLER, give Daniel P. Demski permission to sign the plumbing
permit for, Lisa Voss's new residence on 1 ih Street, in Oshkosh, WI.
NAME-Steve Rettler
ADDRESS-600 Field Crest Lane
CIT/STATE/ZIP-Black Creek, WI. 54106
PHONE-920-894-3914
CREDENTIAL #-227079
EXPlRATION-03/31/2008
Thank you for your cooperation.
Signe<\~ ~
1
~
OJHKOJH
ON THE WATER
City 'or' Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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 ofwIDch 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) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ij~OU are a contractor varticipatinf! in the Permit Fee Account System and have.adequate funds. check here
i_ _ou want this processed throuf!h your account n
po- /.
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Job Address 5 ). S
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Contractor
Owner
Dlndustrial
DCommercial
DRental
DMulti- Family
5:]Single Family
Number of Fixtures:
L
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
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec I
RP.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Bathtub
I
-L
A-
Whirlpool
Lavatory
Toilet
Res. Sink
3
--r-
-L
-L
Bar Sink
Water Heater ~
~Gas.o Elect 0 PwrVnt
-1-
Floor Drain ~
~
/
Shower
Lndry Tray
Lab Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Plaster Sink
Sterilizer
Misc.
Fixtures
;:;
DElectric Installation V erification f~rm attached
(If Replacement)
OR
Electric Contractor
Use / Nature of Work
Conn. Type
#
Type
Material
Size
Sanitary Sewer
Storm Sewer
Water Service
11/05