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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