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Home My WebLink About0126586-Plumbing .' 08.HKOSH ON THE WATER Job Address 1319 OSHKOSH AVE CITY OF OSHKOSH PLUM~ING PERMIT - APPLICATION AND RECORD I No 126586 Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner DANIEL W JENSEN Create Date 09/04/2007 Category 410 - Residential-I nterior Plan I Water Softner Wait. St. Shamp Sink Coffee Maker I Ice Chest FlrlWst Sink Local Waste Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ Valve Be~r Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs St~rilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs .1 Serv Sink Soda Disp Dnrk Ftn Contractor WELLNITZ PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature nd floor bathroom remodel. of Work Valuation Sanitary Sewer Material Type # Conn. Type Storm Sewer Water Service Parcel Id # 1600250000 $2,050.00 $0.00 $25.00 0 Permit Voided I Permit Fees Plan Approval Issued By Date 09/04/2007 I 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 enfqrce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easelTlent, the City strongly urges the permit applicant to contact the easement holder(s) and to sec any necessary clpprovals before starting such activity. Signature r; ~- . Date '7--~-,t? ? Agent/Owner Address 4810 AMBERWOOD LN APPLETON WI 54913 - 7924 Telephone Number (0)231-7390 To schedule inspections please call the I~spection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, ett.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we ~i11 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. City of Oshkosh Inspect jon' Services Division POBox 1130 Oshkpsh, VVI54903-1130 Pnone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER Plumbing Permit Application I I I hereby apply for a permit to do and instal( the foHowing plumbing on the premises hereinafter described, the work to conform to the VVisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. I I . 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 w.itho~t permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. ! OR I If vou are a contractor particilJatin1g in the Permit Fee Account Svstem and have adequate funds, check here if vou want this processed through your account ~ I ** Advisory - For applicable project~, an Electrical Installation Verification (EN) form, signed by the Electrical Contractor or Homeowner (for inst~lations allowed to be performed by the homeowner) must be submitted with the permit application. Applic~tions submitted without an EN when such is required, will not be processed for Permit Issuance and wpl be retumedfor completion. Job Address / S.?'7 651./::'05,,( ~p Value (Including labor and materiaIS)~OS-6 .00 Date 9- 1/-0/, Owner DrrJ'.k~.;;er1 Contractor z,Je!lAtf2- rlvrli/~ ~ingle Family DDuplex' DMulti-Family DRental DCommercial Dlndustrial -,. Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn Lavatory t Sump Pump lee Chest Urinal Toilet ~ Ejector/Grind! Exam Sink Gar Drain Res. Sink Water Softner' Sculry Sink Soda Disp Bar Sink Local Waste I Hand Sink Coffee Maker I Water Heater Clothes Wshr I F Prep Sink Comm. Ice Maker o Gas 0 Elect CJ PwrVnt Bidet Serv Sink Site Drain Shower ~ Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink. Ext Grease Trap Standp Rec Lndry Tray Surgeons Sin~ R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sinkl Shamp Sink Wtr Sewer Mtrs I Plaster Sink I Dip Well Flr/Wst Sink Deduct Meters S teri I izer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work d"'" ~.e,.... /C/V/P~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer VV ater Service 07/07