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Home My WebLink About0125270-Plumbing o OSHKOSH ON THE WATER Job Address 424 MERRITT AVE Contractor OWNER Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By CITY OF OSHKOSH No 125270 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner COREY M DOMKE Create Date 06/11/2007 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 SFR / Bathroom remodel 1st floor. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0404430000 $2,000.00 Plan Approval ~ $0.00 $25.00 D Permit Voided I Permit Fees Date 06/11/2007 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 holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner OSHKOSH WI 54901 - 5046 Telephone Number Address 424 MERRITT AVE 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) win 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 TJrocessed through vour account n ~.-, /...., //-01'11 ;t-<c . {:;, ....- Value (Including labor and materials) '-t:;;10i'"y Contractor tJ)~ )1'\ pr Date 0-: 1/-6-7 Disposal DrinkFtn Catch Basin Dishwasher Wait. St. Wash Ftn Sump Pump Ice Chest Urinal Ejector/Grind Exam Sink Gar Drain Water Softner Sculry Sink Soda Disp Local Waste Hand Sink Coffee Maker Clothes Wshr F Prep Sink Comm. Ice Maker Bidet Serv Sink Site Drain Beer Tap Int Grease Trap Roof Drain Classrm Sink Ext Grease Trap Standp Rec Surgeons Sink RP.Z. Valve Eye Wash Sin Breaknn Sink Shamp Sink Wtr Sewer Mtrs Dip Well Flr/Wst Sink Deduct Meters Hose Bibs Wtr Usage Mtrs "Job Address y;;Y1 f"&n-i4 .4~~ '0 & wner . j4~0 ~lngle Family / DDuplex DMulti-Family Number of Fixtures: -L -L Bathtub \ Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures DRental DCommercial Dlndustrial Electric Contractor OR DElectric Installation Verification form attached (If Replacement) I (I (}1J~r. Use / Nature of Work ., !/~ifh (f/'I"'I t)~ 1 Size Material Type Conn. Type Sanitary Sewer Storm Sewer Water Service # 11/05