HomeMy WebLinkAbout0125375-Plumbing (remodel)
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OSHKOSH
ON THE WATER
Job Address 30 W SOUTH PARK AVE
CITY OF OSHKOSH
No
125375
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner RANDY R MMS/SUZETTE M SCANLON Create Date 06118/2007
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 KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
SFR 1 Remodel bathroom
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0303680000
$2,400.00 Plan Approval
~
$0.00
$25.00 D Permit Voided I
Permit Fees
Date 06/18/2007
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 54902 - 7040 Telephone Number 920-231-6661 or 235
Address 2005 DOTY ST
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.
~n 18 07 08: 47a
@
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(920)
235-0282 p.1
~
OJHKOJH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnbed, the work to conform to the
Wisconsin State Plumbing Code, in the performance ofwmch 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. Commencmg work without pennit(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 TJarticipatinp: in the Permit Fee Account System and have adequate funds. check here
ifvou want this 7Jrocessed throufth your account ~
Job Address30 5OV7/7 ~~,4avalue (IncJudinglaborandmatc:rials) Z; 4XJ~
Owner SOV-57'.??z se4/l/~Q/V Contractor Ie o~ "P~0.
[ZISingle Family DDupJex DMuJti-Family DRental DCommerciaJ
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elcct 0 PwrVnt
--'-
---L-
---L
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Date 6-18-07
DIndustrial
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin
Wait.St. WashFtn
Ice Chest Urinal
Exam Sink Gar Drain
Scu]ry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
SeI" Sink Site Drain
Inl Grease Trap Roof Drain
Ext Grease Trap SllIndp Rec
.. R.P.z. Valve . Eye. Wash Stn._-
Shamp Sink Wtr Sewer Mlrs
FlrlWst Sink Deduct Meteni
Wtr Usage Mlrs
OR
DEJectric Installation Verification form attached
elf Replacement)
~?//4C:Ohi
Use/Nature of Work EeM;t7P/~C:
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
o
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11/05