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HomeMy WebLinkAbout0125048-Plumbing e'~' 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- /. D 5----.Jd.-o7 ate . t t ! ..-.>d, w ( J Pt,j C VosS DDuplex V alue(Including labor and materialsf!5..7 t)OO, r' . , Job Address 5 ). S L;~)A 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