HomeMy WebLinkAbout0126511-Plumbing (sink/deduct meter)
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OSHKOSH
ON THE WATER
Job Address 2832 NEWPORT AVE
CITY OF OSHKOSH No 126511
PLUMBING PERMIT - APPLICATION AND RECORD
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Owner MICHAEUNANCY J DOUGHERTY Create Date 08/29/2007
Plan
Contractor DRUCKS PLUMBING
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
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Shower Water Softner Wait. St. Shamp Sink
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Floor Drain LQcal Waste Ice Chest FlrlWst Sink
I Exam Sink Catch Basin
Lndry Tray CI?thes Wshr
Disposal Bidet Sculry Sink Wash Ftn
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Dishwasher B~erTap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
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Breakrm Sink Dip Well F Prep Sink Gar Drain
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Ejector/Grind Drink Ftn Serv Sink Soda Disp
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Use/Nature Install laundry sink and deduct meter for lawn watering. "check #62333
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Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation
Issued By
Conn. Type
$1,300.00
Plan Approval
$0.00
$25.00 0 Permit Voided I
Parcelld #
1332910000
Permit Fees
Size
Material
Type
#
Date 08/29/2007
Sanitary Sewer
Storm Sewer
Water Service
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In the performance of this work, I agree to perforf)1 all work pursuant to rules goveming 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 eas~ment, 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
Agent/Owner
Address PO BOX 355 ,MENASHA WI 54952 - 0000 Telephone Number 426-2654
To schedule inspections please call the:lnspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, ~tc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, w, will assume the project is ready at the time the request is received. Work may
continue if the inspection is not perfornied within two business days from the time the project is ready.
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City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920)236-5084
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OfHKOfH
ON THE WATER
plumbing Permit Application
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I hereby apply for a permit to do and ins~l1 the following plumbing on the premises hereinafter descnbed, the work to conform to the
Wisconsin State Plumbing Code, ~the performance of which all parties hereto agree to and are bound by said statutes.
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· 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: Co~encing work withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
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If you are a contractor particivat:inf! in the Permit Fee Account System and have adequate funds. check here
ifvou want this processed throuf!h your account n
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V alue (lncluding labor and materialsL...._' pc>
Contractor ,Dr(..}'z..A~.r,
DMulti-Family DRental DCommercial
Date 8, 2. ~-() 7
Job Address 2832.. New p~ Ate
Owner Ctlt:"r/t:::S l-te...~ es
[ZfSingle Family DDuplex I
DIndustrial
Number of Fixtures:
Bathtub Disposal DrinkFtn Catch Basin
Whirlpool Dishwasher I Wait. St --'-- Wash Ftn
Lavatory Sump Pump' Ice Chest Urinal
Toilet EjectorfGri~d Exam Sink Gar Drain
Res. Sink Water Softner Sculry Sink Soda Disp
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Bar Sink Local Wast9 Hand Sink Coffee Maker
Water Heater Clothes Wslir F Prep Sink Comm. Ice Maker
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o Gas 0 Elect 0 PwrVnt Bidet S~ Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain V. Classrm Sin1< Ext Grease Trap Standp Rec
Lndry Tray Surgeons Shlk R.P .Z. Valve Eye Wash Stn
Lab Sink . I
Breakrm Si~k Shamp Sink Wtr Sewer Mtrs JZ
Plaster. Sink Dip Wen Flr/Wst Sink Deduct Meters
Sterilizer .- Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor
OR
DElectric Installation Verification fo'rm attached
(If Replacement)
Use / Nature of Work
Size
N,taterial
Type
#
Conn. Type
Sanitary Sewer
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2;> -Mt"?'V'
Ece'VED
SEP 4 2007
. DEPARTMENT OF
COMMUNITY DEVELOPMENioS
INSPECTION SERVICES DIVISION
Storm Sewer
Water Service