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HomeMy WebLinkAbout0125757-Plumbing (toilet) o OSHKOSH ON THE WATER Job Address 926 STARBOARD CT Contractor M P KELLY 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 125757 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner RICHARD/SHIRLEY VERHOEVEN Create Date 07/12/2007 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 [SFR / Replace toilet. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1523310000 $748.00 Plan Approval ~ $0.00 $25.00 0 Permit Voided I Permit Fees 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 54901 - 4431 Telephone Number 231-1750 Address 665 N MAIN ST To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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: (910) 236-5084 ~ OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on theprertrises hereinafter described, the work to confonnto 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 broughito City Hall, Room 205 or mailed to InspectionServices, PO Box 1128, Oshkosh WI 54903-1128. Commencing work withoutpermit(s)will tesultin fees being doubled or $100.00 plu~the normal permitfee, which ever is greater. OR If v()uare a contractor participating in the Permit Pee AccountSvstem and have adequate funds. check here i(vou want this processed throughvour account n . JOb.. A. ddr~~?{7v. ~.:twli"gl""'''d''''I<ri'''' Owner ~ _ __~tLe . tor . DDuplex DM~lti-FaItlily Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt --L Shower Floor Drain Lndiy Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Use I Nature of Work II Sanitary Sewer Storm Sewer Water$ervice /' Date t?/r..l!oZ !. / Dlndustirial Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink BreakrmSink Dip Well DrinkFtn Wait.St. .. Ice Chest Exam Sink $pl!lry Sink Ha\l.~;~i~~ F Prep Sink Serv Sink Intqrease Trap ExtGrease Trap R.P.Z. Valve Shamp Sink FlrlWstSink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec EyeWash $tn Wtr Sewer Mtrs DeductMeters WtrUsage Mtrs OElectrlclnstaUation Verificati()n form attached (IfReplac~ent) , Colin.. Type hf\ 0V\ ,; Material # Type 4/05