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Home My WebLink About2007-Plumbing (sink/tub) to QSHKOSH ON THE WATER Job Address 333 ROSALIA ST Contractor Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures CITY OF OSHKOSH No 125790 PLUMBING PERMIT - APPLICATION AND RECORD HOMEOWNER Owner JODI M MENNING Create Date 07/13/2007 Category 410 - Residential-I nterior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink Int GreaseTrap 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 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind I Use/Nature Relocate existing kitchen sink and replace bathtub. Existing basement drain, waste and vent piping will be replaced with new pvc. of Work Valuation Issued By Size Material Type # Conn. Type Storm Water Parcel Id # 0205150000 $1,500.00 Plan Approval $0.00 Permit Fees $25.00 0 Permit Voided I Date 07/13/2007 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. Signature Date , ?-/~-O? Agent/Owner OSHKOSH WI 54901 0000 Telephone Number 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. 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. City of Oshkosh Inspection Services Division , POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, 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. 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 participatin>? in the Permit Fee Account System and have adequate funds. check here if yOU want this orocessed throu>?h your account n Job Address J3jj)?O:'1"1) "0..II.5i' . Value (Including labor and materials) '~on .00 Owner '- }xJi rY\e(\l\i~ Contraetor &J 9 ~ingle Family DDuplex DMulti-Family DRental DCommercial Date 7-1'3 -() 7 DIndustrial Number of Fixtures: Bat!:ltub -I- Whirlpool Lavatory Toilet Res, Sink Bar Sink ~ Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink DrinkFtn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Surgeons Sink Breakrm Sink Dip Well Hose Bibs Electric Contractor OR DElectric Installation Verification fo'rm attached (If Replacement) " ~ oe> cl" t if) i'h~ Sanitary Sewer Storm Sewer Water Service 11/05