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OSHKOSH
d.
ON THE WATER
Job Address 1213 WASHINGTON AVE
CITY OF OSHKOSH
No
125970
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RONALD B MARKS Create Date 07/26/2007
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
I
Drink Ftn Serv Sink Soda Disp
Contractor O'NEILL ENTERPRISES INC
Bathtub Shower
Whirlpool Floor Drain
Lavatory Lndry Tray
Toilet Disposal
Res. Sink Dishwasher
Bar Sink Sump Pump
Water Heater Classrm Sink
Site Drain Breakrm Sink
Roof Drain Ejector/Gri nd
Misc. silcock
Fixtures
Use/Nature
of Work
Plumbing for addition to home.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0203470000
$25.00 D Permit Voided I
Valuation
$600.00
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 522 W 6TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
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.
~07/25/2007 :2:30 FAX 19202302008
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Pax: (920) 236-5084
ONEILL ENTERPRISES'
l4J 001/001
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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
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 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
everis greater. .
OR
ee Account S stem and have ade uate unds check here'
** Advisory- For applicable projects, an Electrical Installation Ve:dfication (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be petformed by the homeowner) must be submitted
with the permit application. Applications su.bmitted wiqtou.t an EIV when su.chis requ.ired, will not be
processed for Permit Issuance and will be returned for completion. tt
Job Address J J-JIL3 tt/atiJUl,j-a1J Value (Including labor and materials) bOt), ()1)
Owner? Contractor () I '.Ri I.
~jngle Family ODuplex DMulti-Family ORental DCommerclal
Number of Fixtures:
Bathtub Disposal Drink Fin
Whirlpool Dishwasher Wait St.
Lavatory Sump Pump Ice Chest
Toilet Ejector/Grind Exam Sink
Res. Sink Water Softner Sculry Sink
Bar Sink Local Waste Hand Sink
Waler Heater Clothes Wshr F Prep Sink
o Gas 0 Elect 0 PwrVnt Bidet Serv Sink
Shower Beer Tap Int Grease Trap
Floor Drain Classnn Sink EJ...t Grease Trap
Lndry Tray Surgeons Sink R.P.Z. Valve
Lab Sink Breakrm Sink Shamp Sink
Plaster Sink Dip Well Flr/Ws! Sink
Sterilizer Hose Bibs -'- VI{] . SbLt; -L
Misc.
Filttures
Catch Basin
Wash Ftn
Urinal
Gar DIllin
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Sin
Wtr Sewer MIrs
Deduct Meters
Wtr Usage MIrs
Electric. Contractor (for projects not requiring an EIV Form)
Use I Nature of Work
Size
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
VVater Service
07/07