HomeMy WebLinkAbout0125764-Plumbing
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OSHKOSH
ON THE WATER
Job Address 510 W 6TH AVE
CITY OF OSHKOSH
No
125764
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner HERRELL DEVELOPMENT LLC Create Date 07/12/2007
Category 410 - Residential-I nterior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrfWst 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 StandpRec 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 SBS PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
~ap building drain and water distribution lines to convert building to a duplex.
!
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0600530000
$150.00
$0.00
$25.00 D Permit Voided I
Permit Fees
Plan Approval
Date 07/12/2007
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 54904 - 7784 Telephone Number 920-410-5933
Address 4635 RED FOX RD
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.
~ I II 0,7 0 I , 46 F
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, W15490~1l30
Phone: (920) 236-5050
Fax: (920) 236-5084
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OJCKOfH
ON THe W....TER
il-l-l-r\ ,
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plumbing Permit Application
I hereby apply for a permit to do and instill the fonowing p10mbing on the premises hex:einaftet descn~ the woIk to conform to the
Wisconsin State Plumbing Code, in the petformance ofwbich 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
I ou are a contractor artici atin in the PermJt P; e Account S stem and have ade
ou want this rocessed throu h our account
Job Addr(eSIO (J" 6 +~ 5 -f. 0Value (lndndinglabor2DdJlDlcrials) .J'I;'5t!.>r08
? Sc:e1+- K....N\b,V GmRt~\cc..,tt-:J-, C. ~-B<' ?( b'
Owner. c.r.".\_ ~_ ontractor --' '" '<... ~
OSingle Family uplex OMulti-Family []Rental Dc ercial
Number of Firtnres:
Ba1htub
Wlrirlpool
lavatmy
Toilet
Res. Sink
Bar Sink
Date7/IJ lor;
OIndustrial
. Dispos3l Drinlc FIn Catch Basin
Dishwasher Wait. S1. W:ash Ftn
Sump Pump lee Chest t.Irimll
E".JCCtoTfGrind .EJtam Sink Gar DJain
Water Softna Scuhy Sink SodaDisp
U:lcaI Waste Hand Sink Cofii:c Maker
Clothes Wshr F Prep Sink Comm. lee Maker
Bidet Scrv Sink Sit!: Drain
BecrTap Int Grease Tr.Ip Roof Drain
CIassm1 Sink Ext GJease Trap Slmldp Rec
Surgeons Sink RP.z. Valve Eye Wash Stn
Breaknn Sink Shamp Sink Wrr Sewer Mus
Dip Well FtrIWstSink Deduct Meters
Hose Bibs Wtr Usage Mtrs .
Water HCljter
o G:1s 0 Elect 0 PwrVnt
Shower
Floor Dtain
Wiry Tray
Lab Sink
Plaster Sink
Stenlin:r
Misc.
Fuaures
Electric Contractor OR DElectric Installation Verification form attacbed
(If RqaJaa::mr;nt)
R~,.,Jt. \ rf' . . i ,-.- I 3~ il ':X" \
Use I Natnre of Work LeAp or' '/" Co..ST ]..ro;;'\. i3,^~l~j' SewQ(/{o.r7Y pe)C I c~ r 7c... v~
Size Material Type # Conn.. Type
Sammry Sewer
Storm Sewer
Water Service