HomeMy WebLinkAbout0125967-Plumbing
e
OSHKOSH
ON THE WATER
Job Address 1519 N MAIN ST
PLUMBING PERMIT - APPLICATION AND RECORD
^ CITY OF OSHKOSH No 125967
Owner DARLENE S/JEAN L NELSON Create Date 07111/2007
Plan
Contractor GREEN BAY PLUMBING
Category 410 - Residential-I nterior
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice. Chest FlrlWst Sink
Lavatory 1 Lndry Tray Clothes Wshr Exam Sink Catch Basin
-
Toilet 1 Disposal 1 Bidet Sculry Sink Wash Ftn
- -
Res. Sink 1 Dishwasher 1 Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Fire damage repair and replacement of bathroom fixtures and reloction of kitchen sink.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1501350000
Use/Nature
of Work
Valuation
$4,000.00
$0.00
$42.00 0 Permit Voided I
Permit Fees
Plan Approval
Issued By
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 applicatio ithin an easement, the City strongly urges the permit applicant to contact the
easement holde a 0 se e e cessary approvals before starting such activity.
Agent/Owner
GREEN BAY
WI 54313 - 0000 Telephone Number 920-465-0628
Address 3080 PAR CT
Date 07/25/2007
Date
7 / rtf'
.
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
50?
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
VVisconsin 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 VVI
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
]fyou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
(k)
Value (Including labor and materials) ~ &0 tJ. Date 7~~.Y-~?
COl!~ctor 'GJ?ee/1 g~y ?/&P?z~/nv~
DMulti-Family DRental DCommercial Dlndustrial
Job Address
15' /1 AI fY7(JI/1
Owner
~ingle Family
DDuplex
Number of Fixtures:
Bathtub ) Disposal I Drink Ftn Catch Basin
Whirlpool Dishwasher Wait.St. Wash Ftn
Lavatory ---y- Sump Pump Ice Chest Urinal
-
Toilet I Ejector/Grind Exam Sink Gar Drain
Res. Sink ~ Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker
o Gas 0 Elect 0 PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Standp Rec ~
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn
Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well Flr/Wst Sink Deduct Meters
S teri lizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring ap. EIV Form)
Use / Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
VVater Service
07/07