HomeMy WebLinkAbout2007-Plumbing
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OSHKOSH
ON THE WATER
Job Address 10201022 MALLARD AVE
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
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CITY OF OSHKOSH I
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PLUMBING PERMIT - APPLICATION AND RECO~D
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1_ Create Date 05/31/2007
rPlan
Shamp Sink +-- Coffee Maker
FlrlWst Sink , Int Grease Trap
Catch Basin L Ext Grease Trap
Wash Ftn +-- RPZ Valve
Urinal L- Eye Wash Statn
Standp Rec! 1 Wtr Sewer Mtrs
Ice Maker L Deduct Meters
Gar Drain +-- Wtr Usage Mtrs
Soda Disp t-
No
125065
Owner LORI J ADAMS
Contractor SBS PLUMBING LLC
Bath1tub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature DUPLEX (1020) / KITCHEN REMODEL **debt acct
of Work
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. I
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 the II'
easement holder(s) and to secure any necessary approvals before starting such activity.
I Date
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Address 4635 RED FOX RD OSHKOSH WI 54904 - 7784 Telephone Nu ber 920-410-5933
To schedule inspections please call the Inspection Request line at 236-5128 noting the Addres~, Permit Number, Type of
Inspection (I.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain e~try), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the reque~t is received. Work may
continue if the inspection is not performed within two busines~ days from the time the project Is ready.
Valuation
Issued By
Signature
Category 410 - Residential-Interior
Water Softner
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Sterilizer
Dip Well
Drink Ftn
Size
Material
Type
#
Conr!1. Type
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Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1523970000
$0.00 Permit Fees
$25.00 D Permit oided
Plan Approval
Date 05/31/2007
Agent/Owner
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Job Address IDZO
Lror-Ie
Owner
rQSingle Family
Number of Fixtures:
Bathtub ,,~
Whirlpool ..--,
Lavatory .-
Toilet
Res. Sink .:1
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
,..,
..,
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
.-.
-
Electric Contractor
Use I Nature of Work
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OfHKOfH
ON THE WATER
Plumbing Permit Application
MaIlCAJlJ'
,4),.""-5
Dnuplex
Value (Including labor and materials)
Contractor
DMulti-Family
Sl?S
DRental
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I hereby apply for a permit to do and install the following plumbing on the premises hereinafter de~cnoed, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to an~ are bound by said statutes.
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. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspectibn Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees be~g doubled or $100.00 plus the
normal permit fee, which ever is greater. !
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I ou are a contractor artici atin in the Permit Fee Account S stem and hav'e ade
ou want this rocessed throu h our account
Disposal .-- DrinkFtn
Dishwasher ~ Wait. St.
Sump Pump Ice Chest
Ejector/Grind - Exam Sink
Water Softner .- Sculry Sink
Local Waste --, Hand Sink
Clothes Wshr - F Prep Sink
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Bidet Serv Sink
Beer Tap .- Int Grease Trap
Classnn Sink - Ext Grease Trap
Surgeons Sink RP.Z. Valve
Breaknn Sink Shamp Sink
Dip Well FlrlWst Sink
--=-
Hose Bibs
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I,ti!>> h DateS / 30107
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p/l.l~L~ Ll.C
DCommercial Dlndustrial
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..--
Catch Basin -
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec ~
Eye Wash Stn
Wtr Sewer Mtrs .-
-
Deduct Meters
Wtr Usage Mtrs
OR
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DElectric InstaDatidn Verification form attached
(If Replacement) I
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Conn.Typ~
Size
Material
#
Sanitary Sewer
Storm Sewer
Water Service
Type
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