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HomeMy WebLinkAbout0125634-Plumbing (tub) o OSHKOSH ON THE WATER Job Address 320 W 12TH AVE CITY OF OSHKOSH No 125634 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink EjectorlGrind Owner ANN M REINKE Create Date 0710312007 Category 410 - Residential-I nterior 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 WATTERS PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Valuation Issued By SFR 1 Replace tub. ""DEBIT ACCT"", Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0903810000 $1,683.00 Plan Approval ~ $0,00 $25.00 D Permit Voided I Permit Fees Date 07/0312007 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 MENASHA WI 54952 - 0118 Telephone Number 920-733-8125 Address PO BOX 118 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. :--07/03/2007 i TUE 15:00 FAX 920 733 2713 WATTERS PLUMBING ~001/001 City of Oshkosh Inspection Services Division POBox I 130 Oshkosh, WI 54903-1 J30 Phone; (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE \VATF.R Plumbing Permit Application I hereby apply for a permit to do and install the following pJumbing 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 54903-1 J 28. 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 particivating in the Permit Fee Account System and have adequate funds, check here if yOU want this processed through your account n i Value (Including labor and materials) Job Address -.)12.0 W l ).+-\1 A\/f~ , Owner J.\V\'(l Pei(\KQ [gJSingle Family DDupJex Number of Fixtures: ti Bathtub Whirlpool Lavatol)' Toilet Res. Sink Bar Sink Water Heater D Gas CJ Elect Ci PwrVnt Shower Floor Drain Lndl)' Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Contractor DMuJti-Family Disposal DishwaSher Sump Pump Ejector/Grind Water Sonner Local Waste Clothes W shr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Date 7/ () to 7 c Drink Ftn Catch Basin Wait. St. Wash Ftn ke Chest Urinal ElI:am Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker r Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ex! Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wlr Sewer Mtrs Flr/Wst Sink Deduct Meters Wlr Usage Mtrs Electric Contractor DEJectric Installation Verification form attached (If Replacement) Ql1 Use / Nature of Work ,(:( \> () I O.L~ . ..n.Ab Sanitary Sewer Storm Sewer Water Service Size Material Type # ~~- 6lJ \~ Conn, Type '!25: fROtv\ ACC0LtNT 4> 2,5., 11/ os