HomeMy WebLinkAbout0125604-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1025 HARNEY AVE
CITY OF OSHKOSH
No
125604
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner RONALD T SCHIMKE Create Date 07/02/2007
Category 410 - Residential-Interior Plan
-_..----
Water Softner Wait. St. Shamp Sink Coffee Maker
LocalWaste 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 RJ KAMPO PLBG
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Convert duplex to single family. Add laundry room where old kitchen had existed. **check # 31625
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0805690000
$0.00 Permit Fees
$25.00 0 Permit Voided I
Valuation $1,500.00 Plan Approval
Issued By ~ ~
Date 07/02/2007
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
AgenVOwner
APPLETON
WI 54914 - 8862 Telephone Number 730-9600
Address 1000 S WESTLAND DR
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.
JUl C::U U't Ul.;l.ol'"
City of Oshkosh
TnsptOction Services Divisiorl
POBox Jl30
Oshkosh, WI 54903-1130
phone: (920) 236-5050
Fax: (920) 236-5084
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I
JUL 2 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Plumbing Permit Application
I hereby apply for D. permit to do and i;1StalJ the following plUIJ:lbing orl the.premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of \vhich 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 S,ervices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) wiH result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever IS greater.
OR
!..f..Y..ou are fL.0ll!!..!'Gctor particiDdtinf!, in (he Permit Fee Account S1Jsrem and have adeg.uate f1lllds. che.ck here
!.L:i.ou want th.ft.P-rocessed (hro,..Y$..!Lvour flccount n .
Job Add,"" )D:t. 5' Jta f}1t</ V.lne (mcl""', """ "" ....nol.) · 15b~;;:" -
Owner Kot\. SCf\ I m KG, Contractor ~ . ~t __L
DSingle Family DDuplex OMulti-Family DRental DCommercial
Date1:1kQ1
flhd .ft f-l~~ .
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
La I'atory
Joilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 'J PWTVnt
Shower
Floor Oral!'
-T"-
Lndrj Troy
Lab Sink
Plaster Sink
Sterilizer
Electric Contractor
Lndry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Waler Sonner
Local Waste
Clothes Wshr
aidet
l3eeJ Tap
Classml Sink
Surgeons Sink
Bre~krm Sink
Dent. Oper. Shamp Sink
Dip Well FlriWst Sink
Drink Fin Catch Basin
Wait.SI. W",h Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Scully Sink Soda Di sp
-L- Hand Sink Cdfee Maker
F Prep Sink Ice Maker
Serv Sink Site DrdlCl
lnl Grc<lse Trap Roof Drain ~
Ext GrClls~ Trap Standp R';!;
R.P.Z. Valve Eye Wash 51n --
Size
MatellaJ
OR DElectric Installation Verification form attacbed
(If Replacement)
dLlf/fJi :f1L s;ngt'~; Lf
Type # Conn. Type
Use / Natnre of Work_ CD()\J~.t
,
i
I Sanitary Sewer
I
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ttJnl/tr~'~ old ~i~
l rJiJ.t'dr'f ((X)(Y1
7/03
v=# 31 (p as 4$~s. 00