HomeMy WebLinkAbout0125045-Plumbing
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OSHKOSH
ON THE WATER
Job Address 410 MARSTON PL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECQRD
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Owner PAUL A KOCH
Contractor CONRAD PLUMBING
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower
Floor Drain
1 Lndry Tray
1 Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
1 Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
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Shamp Sink.
FlrlWst Sink!
Catch Basin i
Wash Ftn
Urinal
Standp Rec 1
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Ice Maker .
Gar Drain
Soda Disp
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$49.00 0 Permit Voided I
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No 125045
Create Date OS/29/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
LATE PERMIT/Interior remodel due to water damage per correction notice.
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Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1004200000
$3,000.00 Plan Approval
(Pnt./:J
$0.00 Permit Fees
Date 05/30/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described constructi9n.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
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described in this permit application within an easement, the City strongly urges the permit applicant to contact t~e
easement holder(s) and to secure any necessa~appr~vals before starting such activity.
Signature ~ ~_ e Date S - '"'3>0 -0 'I
~entlOwner
Address 2813 W KENLAR CIRCLE GREEN BAY WI 54313 - 0000 Telephone Number 920-434-3366
To schedule inspections please call the Inspection Request line at 236.5128 noting the Add~ess, 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 proj~ct is ready.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter d6scribed, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to mid are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to fuspec~on SerVices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) win result in fees b~ing doubled or $100.00 plus the
normal permit fee, which ever is greater. '
OR
Ifvou are a contractor participatinf! in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this processed throuf!h vour account n .
Job Address "'0 f'1Q.r~To..-
Owner J .....""\ '~ec."'-
~ingIe Family DDupIex
p ( Value (Including labor and materia~ 3000.0'0 Date S -:- :3 () - 0 '1
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Contractor Go~~^\) f'L.V~~1 rVG LJ-c:.
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DMuIti-FamiIy DRentaI DCom~ercial Dlndustrial
Number of Fixtures:
Bathtub --.L
Whirlpool -
Lavatory -L
Toilet -L
Res. Sink ---L-
Bar Sink
Water Heater ~
o Gas 0 Elect 0 pv;rVnt
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
Breakrrn Sink
Dip Well
Hose Bibs
-L-
-I-
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 ---L
R.P.Z. Valve - , Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Ke..; 'i 0 r.- +; uv-
Size
Material
Type
OR . DElectric Installatio~ Verification fo.rm attached
(lfReplacement) i
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Conn. Type'
1.1/05