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HomeMy WebLinkAbout0126511-Plumbing (sink/deduct meter) G OSHKOSH ON THE WATER Job Address 2832 NEWPORT AVE CITY OF OSHKOSH No 126511 PLUMBING PERMIT - APPLICATION AND RECORD I I 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 I Shower Water Softner Wait. St. Shamp Sink I Floor Drain LQcal Waste Ice Chest FlrlWst Sink I Exam Sink Catch Basin Lndry Tray CI?thes Wshr Disposal Bidet Sculry Sink Wash Ftn i Dishwasher B~erTap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker I Breakrm Sink Dip Well F Prep Sink Gar Drain I Ejector/Grind Drink Ftn Serv Sink Soda Disp I I I Use/Nature Install laundry sink and deduct meter for lawn watering. "check #62333 ~W~ I I 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 I I 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. ! City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 ! c ~ OfHKOfH ON THE WATER plumbing Permit Application I I 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. I · 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. OR I 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 ! i CJ~ 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 I Bar Sink Local Wast9 Hand Sink Coffee Maker Water Heater Clothes Wslir F Prep Sink Comm. Ice Maker ! 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 .t:' ~ 2;> -Mt"?'V' Ece'VED SEP 4 2007 . DEPARTMENT OF COMMUNITY DEVELOPMENioS INSPECTION SERVICES DIVISION Storm Sewer Water Service