HomeMy WebLinkAbout0125979-Plumbing
e
OSHKO~H
ON THE WA.TER
JobAdct1~ss 950 N SAWYER ST
CITY OF OSHKOSH
No
125979
PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/NatureLA TE PERMIT/ Work started by owner withour permits. Replace fixtures and construct 2nd floor bathroom.
of Work
2
2
1
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/G rind
Owner PAUUJULlE FElDER Create Date 03/21/2007
Category 410 - Residential-Interior 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
Contractor MR ROOTER OF THE FOX VALLEY
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1605220000
Valuation
$63.00 D Permit Voided I
$4,500.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 07/26/2007
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
Address PO BOX 1141
Agent/Owner
APPLETON
WI 54912 - 1141 Telephone Number 920-687-9178
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.
~
07/26/2007 07:28
I' Clty of Oshkosh
'Inspection SelVices Division
POBox 1130
Oshkosh, VV154903-1130
Phone: (920) 236.5050
Fax: (9:20) 236-5084
'320687'3407
MR ROOTER
PAGE 01
~
~QlR
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 ofwhicb all parties hereto agree to and are bound by said statutes.
· ApplicatiOD(S) and fee(s) can be brought to City Hall, Room 205 or mailed to lnspection Services, PO Box 1128,
Oshkosh WI 54903.1128. Commencing work. without pennit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
If YOU are a contractor vartici.J2all!.1fl in the Permit Fee Account System and have adequate funds. check here
if vau watll. t/jis orocessed throueh your account r
Job Address CfSD tJ. ~w~~te.. Value (Iocl~dins labor and materials) 4~ooo Date "1/2& 17
Owner. vJAA Spe-oal--h.t t1o~~<.~ntractor .t:1.dcx5T€R. PLJM&~6 '
~ingle Family DDaplex DMnlti-Family []Rental DCommercial DIndostria.
Number of Fixtures:
--L-
'8athtub
WlIirlp()ol
Lavatory
Toilcl
2.
-3-=
Res. Sil\k
Bar Sink:
WOller Heater
. r~ Ga$ n Elect n )>wrVllt
Shower -L
Floor Dtilill
Lndry Tray ~
Lab Sink
Plaster Sinlc
Sleril izer
Misc.
Fixtures
Dispo$31 Drink FIn Calt;h Basin
DishWilZher --L. Wail.St. Wash Ftn
Sump Pump kc Chest Urinal
ejector/Grind Exam Sink Gar Drain
Water Sofincr Sculry Sink Soda Disp
Local W3Ste Hand Sink Coffec Maker
Clothcs Wshr F I'l:I:p Sink Comm.lce Maker
Bidet Serv Sink Site Drain
Beer 181> Int Gre8.!l8 Trap Roof Drain
~
Classrlll Sink Ext Grease Trap Slandp Rct;
Surgeons Sink R.PZ, Valve Eye Wash SllI -----
Btul(rm Sillk Shamp Sink Wtr Sewer Mtrs
Dip Well Flr/Wst Sink Deduct Meters
Hose 8ib$ Wtr Usage Mll'!l
DElectric Installation Verification form attached
(If Replacement) .
Electric Contractor .QJ!.
Use I Nature of Work r~ ( ~ ~l. ~-t:i.t..~. S
Sanitary Sc:wc:r
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
11/0$