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HomeMy WebLinkAbout0125240-Plumbing (interior remodel) o OSHKOSH ON THE WATER Job Address 1005 W BENT AVE CITY OF OSHKOSH No 125240 PLUMBING PERMIT - APPLICATION AND RECORD Shower. Floor Drain Owner NELSON E NOLTEIPAUL D MATSCHE Create Date 06/08/2007 Category 410 - Residential-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst 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 THOMAS PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature iSFR I BATHROOM AND KITCHEN REMODEL WITH A REPLACEMENT OF AN ELECTRIC WATER HEATER of Work Valuation Issued By 1 Lndry Tray 1 Disposal 1 Dishwasher Sump Pump Classrm Sink Breakrm Sink EjectorfGrind hose bib Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1207940000 $1,00000 g,'"" Approvo' 5rn $0.00 $42.00 0 Permit Voided I Permit Fees Date 06/08/2007 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 pe it application within an easement, the City strongly urges the permit applicant to contact the easement holder a d to secure any necessa p rovals before starting such activity. Signature Lo ~2-(j7 Date Address 849 VINE ST WI 54901 - 0000 Telephone Number 232-0094 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 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 of which 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 If YOU are a contractor participatinf! in the Permit Fee Account System and have adequate funds, check here ifvou want this processed through your account n Job Address I DO S Owner VC\.0 \ w . 8-<Lvv+. lV\D\--t S c.Jvz_ o t::> C) Date t.s,! 8/6 7 f I ~~r~ ~O~JrJ~ti~I~}- DRental DCommercial Dlndustnal .. Value (Including labor and materials) Contractor !29single Family DDuplex DMulti-Family Number of Fixtures: Bathtub '-L Whirlpool Lavatory -2L Toilet -L. Res. Sink ~ Bar Sink Water Heater ")( o Gas&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 DrinkFtn Catch Basin Wait. Sl 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 Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs 2- OR DElectric Installation Verification form attached (If Replacement) 'RL tfVLo ck.- \ Use / Nature of Work ? i u if'/\. b (\ Y\-.J Sanitary Sewer Size Material Type # Conn. Type Storm Sewer Water Service nlos