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OSHKOSH
ON THE WATER
Job Address 1789 RIVER MILL RD
CITY OF OSHKOSH
No
126612
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MILES/ROBERTA S MAGUIRE
Create Date 09/05/2007
Category 410 - Residential-I nterior
Plan
Contractor HANSON QUALITY PLUMBING
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal 1 Bidet Sculry Sink Wash Ftn
-
Res. Sink Dishwasher 1 Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Use/Nature
of Work
LATE PERMIT/ Relocate and install new fixtures for kitchen remodel.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1224400000
Valuation
$800.00
Plan Approval
$0.00
Permit Fees
$25.00 0 Permit Voided I
Issued By
Date 09/05/2007
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
Date
AgenUOwner
APPLETON
WI 54914 - 5748 Telephone Number 730-0205
Address 550 N BLUEMOUND RD
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.
l' '~,9/05/2007 10: 05
City of Oshkosh
Illspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phoue: (920) 236.5050
Fa.x: (920) 236-5084
920
HANSONS QUALITY PLUM
PAGE 01/01
~
OfHKOfH
ON TI~. WATF;R
Plumbing Permit Application
I hCJ;eby apply for a pennit to do and install the following plumbing on the premises hereinafter' described, the work to conform to the
Wiseons,in State Plumbing Code, in the perfonnance of which all partie~ hereto agree to and are bound by said statutes.
· Application(s) and feces) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-11.28. Comm,cncing work without permit(s) 'Will result in fees being doubled or $100.00 plus the
n,onnal permit fee, whjch ever is greater.
OR
If )IOU are a contractor 7Jartici1'ating in the Permit F _ Account Svste.m and have ~eqw{(.e funds, check here
if yOU want this '()rocessed through VQU aceD
,.
~ontractor
Multi-Family
Value (lncludinglaborandrnatcrlalS) ~ j(f\)
ftw, ri//J:r 6 C/4-11 j) (11f.
DC~mmerdnl
DRental
Date 9' dX'- 7
:J;..'7C
DIndustrial
Owner
" -
9athtu~
Whirlpool
LsVB.tl;lry
Toill:t
R~. Sink
Disposal
Dishwa.<;hcr
L
;nove /r?
Number of Fixtures:
-I-
Sump Pump
Ejeelor/Grind
Water Sonner
toe:L) Waste
Clothes Wshr
l3idct
Beer Tap
Clll.!lsnn Sink
Surgeons Sink
Brcal..'l'1n Sink
DrinkFln Catch Basin
WaiLSt. Wa.h Frn
Ice Chest Urinal
Exam' Sink Gar Drain
Sculry SinJ( Sof;la Disp
Hand Sink Coffee: Maker
F Prep Sink Comm. Ice Mak.cr
Serv Sink Site Drain
Int Grca~c Tr~p Roof Drain
Ext Gl'elIse Trap Stmdp ~cc
R.P.Z. Valve Eye Wash Stn
Sh~mp Sink WIT Sewer Mtrs
flr/Wst Smk Deducl Meters
WU' Usage MlT'$
Ear Sink
Waler Healer
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
LndryTrny
Lab Sink
PI;\st,er Sink
Sterilizer
Pip Well
Hose: Bibs
Misc.
Fixturc..q
Electric Contractor
OR
DElectric Insta.llation Verification form attached
(If' R,cpl~cemCl1I)
Use I Nature ofWork~~_
Size
Material
'f )'pc
#
Conn. T~lPC
Sanita.ry Sewer
Stom1 Sewel'
Water Service
1.l/05