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Home My WebLink About2007-Plumbing (misc) e CITY OF OSHKOSH No 126480 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 214 PROSPECT AVE Owner MARY JOAN MACGREGOR Create Date 08/27/2007 Contractor HOMEOWNER Category 410 - Residential-Interior Plan Sump Pump Classrm Sink Breakrm Sink Ejector/Grind 2 jilcoCk Install 1st floor laundry, dishwasher and repipe basement water distribution lines. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Water Softner Coffee Maker Int GreaseTrap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Sterilizer Dip Well Drink Ftn i Storm Water Size # Conn. Type Material Type Parcel Id # 1008490000 Valuation Issued By $1,750.00 Plan Approval $0.00 Permit Fees $35.00 D Permit Voided I Date 08/27/2007 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 wi!1 be employed to install plumbing the work involved must be covered by a permit issued to a p'roperly licensed Master Plumber. Signature Date 8-17 ~Ql WI 54901 3727 Telephone Number 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. 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 Oshkosh Inspection Services Division P 0 B<}X 1130 JOshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 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 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 WI 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 IfyOU 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 EN when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address ;;:l ,~ P:tQ5P-Qd Valne ('oo"di" ',b", "d ~mri",f /") j~O .. cD Date rl-:2 j.. D 7 Owner M . :)C1tU1 ~~~("" Contractor ~ingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial 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 -Ll 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 -4- 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 Sterilizer Hose Bibs ~ Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use I Nature of Work Size Material Type Conn. Type Sanitary Sewer Storm Sewer Water Service 07/07