HomeMy WebLinkAbout0126212-Plumbing
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OSHKOSH
ON THE WATER
Job Address 665 MONROE ST
Contractor
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
CITY OF OSHKOSH
No
126212
PLUMBING PERMIT - APPLICATION AND RECORD
HOMEOWNER
Owner JASON E REDLIN Create Date 08/14/2006
Category 410 - Residential-Interior 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 ~FRI Remodeling the kitchen* including removing and replacing drywall/ plaster, new cabinets and countertops and a new window.
of Work
Valuation
Issued By
Size
Material
#
Conn. Type
Type
Storm Water
Parcel Id #
0405550000
$1,000.00 Plan Approval
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 08/10/2007
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.
a ree to perform all work pursuant to rules governing the described construction.
Signature
Date ~ '" 10.-6 7
Agent/Owner
OSHKOSH
WI 54901 0000 Telephone Number
Address 665 MONROE ST
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.
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 Qshkosh
Inspection Services Division
POBox 1130
.
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
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 wor!< 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
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this vrocessed 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.
Job Address blo~ MONlZo.e- VaIUe(lncludinglaborandmaterials) //JO()~. o~
Owner J ASo,J . KE:'0 c-; v-J Contractor -1 ,AJ<S....l" Rt0j)c1.J
DSingle Family DDuplex DMuiti-Family DRental DCommercial
Date f~/b '07
Dlndustrial
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait. St. Wash Ftn
Lavatory Sump Pump Ice Chest Urinal
Toilet 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 J PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap lnt 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 I izer Hose Bibs Wtr Usage Mtrs
Misc.
F ixtu res
Electric Contractor (for projects not requiring an EIV Form)
Use I Nature of Work RcPL//C~
K ~ \'c..j-{ C~
,
5:Jt<
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
VVater Service
07/07