HomeMy WebLinkAbout0126222-Plumbing (bath remodel)
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OSHKOSH
ON THE WATER
Job Address 3190 OLD ORCHARD LN
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARK H/KRISTEN J LASKY
Contractor GRP MECHANICAL INC
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
1
2
1
Shower
Floor Qrain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest Flr/Wst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
No
126222
Create Date
08/1 0/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Remodel bathroom. ""DEBIT ACCT"".
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1417480000
Valuation
Issued By
$10,000.00 Plan Approval
~
$0.00
$35.00 D Permit Voided I
Date 08/13/2007
Permit Fees
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
Agent/Owner
OMRO
WI 54963 - 0000 Telephone Number 920-685-0990
Address 730 HAWTHORNE DR
Date
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.
!C
10 07 04:28p Gregor~ R. Peters
ciA u g. jH. 2007 3 : 01 P V: ins pee tic n s e r v Ice s
Inspecj(m Services Divlsion
PO Bm! 1130
O:;hko:!.h, 'WI 54903.1 130
Phone: (920) 236.5050
Fax: (~'20) 236~50S4
!
920 685-5472 p.1
No.4~.
~
Oili~91H
. Plumbing Permit Application
1 hereby apply for B permitto do a ld install the fi,lIowing plumbing on the premises hereinafter describ~d, thtl work to confonn to the
W sconsin State Plumbing ::ode. in the performance cfwhich all parties hereto agree to'and are bound by said statutes.
. Applil:8lil'ln(!l) and fl.::c(.) can 1:: broughr to C ty Hall, Room 205 or mailed to Inspection Services, PO aox 1128,Oshkosh WI
.s4'~03-1128, Commencing WI rlc without per nit(s) will result in fees being doubled or S I 00.00 pillS the normal permit lee, wbich
eVI:r i! greater.
OR
/..L:Y.J!:M.. are a contractor portir;'!'p"alinr! in 'he Permit F e Account S sl~m ond have ade
i.l.J.Sl.!L w"nt this r>1'()c2u~d (/.[nugh your 'C:COUlll.
** Ad'l'is,)ry. For applicable; 'll'ojects, an ntectricat Installation Verificarion (ElV) fona, signed by the Electrical
Contr,1.ct1>r or Homeowner (f)r instaUatio 115 allowed to be performed by the homeowner) must be submitted
with the :pcrmit application. ~1.ppHcation:, S11bmitted without an EIV when su.ch isrcquucd, will not be
procc~Jsccl for Permit Issuantl iUld will be returned for completion.
,Job Address .~ \ '1<0 0 \..::J OQ.c." ~ll..Ovlllue (In~luding leborand m'lcri"l~\ 0 /UOO~-' Date ~ \ \ ~\ 1:)"1
OWDE'r ~~O-\<:. \--h:> ~ Contractor G R \> \,\~Q...\\.~r\~\c.A:L- y ~ c.-
~gle Family DOup.:c:x OIv.uJti-Family DRenlal DCommercial Olndustrial
N um ber of Fixtu.res:
Batlnul, Vis,.il:;.1 Drink 1'111 Cll~h 6asin
.--.-- ')
Wbirlll,:,ol If &> Dlgl''II'8sller Wilil.St Wash I'm
LavIlory Sun' , Pump [C~ Chest Uri1181
T<liltl L-l'\ Ejec -cr/Urind EJlalTl SillK Ollr Drflil>
Rols. Sil\.k War-" Sot\ncr Sculr)' Sink So<Ia L>i,p
B~r Sin\, LOl;;.1 WlI'CC Illllld Sink CII.ffc e Maker
Water t![eale r Clot. 11:, Wshr F Prep Sink Comm. Ice M"akcr
Co GIlS J ~:ect.'J I'wrVnl Bid< : Sl!r",Sink. Sile p",;n
Shower .$::..-'- \") Bcel Tllp Inl Gte:lSC Trap ll.oofllrain
flOOr Drain CI~s, :1111 Sink Exl Gteas;c Trap Slandp Rcc
I.., dryTrny . SIIt€ ~()n' Sillk R.PZ. V;:al..e Ey~ Wash Sill
l...abSink Dre. c.'rn Sink Shllml' Siak Wu S~wcr MilS
!'laster :;,;nlt Dip l,'ell F IrlW..' Sink DcdllCl M~'m
srerili7.c:r UIlSl Bibs WU' U,agc Mrrs
Mjs~.
l'i~lu~
}!:Iectric Clmtractot" (for project! 1110t requiri ng an EIV Form)
Use / Nature)f Work
is"".." 5~u
i Storll'l S~wer
I Water SuviL:c
Size
Material
Type
#
Conn. Type
~ y 07/07
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