HomeMy WebLinkAbout0126702-Plumbing (kitchen sink & faucet)
e CITY OF OSHKOSH No 126702
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2056 MENOMINEE DR Owner JOHN A1SHIRLEY M LESCHKE Create Date 09/11/2007
Contractor D R GLAZE PLUMBING
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
[FR I Repl.oo klt,heo ,'ok ood fa"oot
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
-1
Valuation
Issued By
Size
Material
Type
Conn. Type
$1,700.00 Plan Approval
~
$O&Q Permit Fees
$25.00 D Permit Voided I
Parcelld #
1512060000
#
Sanitary Sewer
Storm Sewer
Water Service
Date 09/11/2007
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
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number 920-589-4014
To schedule inspections please call the Inspection Request line at 236-5128 nbting 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.
('ily or Oshkosh
Ti\ilj500hOI\ SilN~!j; DUiisioft
POBox JJ30
Qr;.bkosh. \VI 5...tj(,)3-1 no
NtOnc: (92()) 23(,..5050
Fnx: (920) 236.Sm~..
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Plumbing Permit Application
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I bereby apply for a pemnt 10 do and ins~J !4~ following plumbing on the promjSCj hcreinancr described tile ~'(Jrk to confwnr to !lle
WisI.'O-us!n Slate Plumbing ('ode. in rlw perfonnauce of which aU panies. ~iO ag1CC 10 .md arc bound b~ said slatutes
. Application(s) and f~s) aIlJ be brought to Cify Hall, Room 2f15 or mailed to l~cfion SCl'\iiccs~ PO Bo.l t 123,
Oshkosh W( 54"903.1128. Commencing work without pcrmir(".) wtU resuttin kes ~i"!~ doubled or $ J{)O,(IO plus the
nomtal penl1it fut~ which ever is ,grearcr.
OR
1.1.YQu .nr~ a t;Onlr~t.lf'.r parllciPlJlin[l ill Iltel:erJllil Fe e .!r!I!U!l!J .!\'1;slf.!.11I .f!llJi h{1 ~~ adequate fl/ml$.....f./ret:ll III1N!
If.. VOl! .tlM thi,~ (Jrf!...&:.f!.4l."efI1hn.ugh '10.' Ul'/:::ounw
JDb Addrn,2~4.- ~r;,'ri':<'€.:e' Value ii....WII!fI.lramlmakril/l..) ~ It1oofl(;).
{)wD,r DfL..J.4<;K.}- slu-kf k~l}~ C..\rll"tltrt ^..i~~G~~~ ftl::8b
~gIe Y_ily Onup1eJl OMuUi--Fa...iIy ORe.~1 OC6mmerrial
OEtectric InstaJ'ation Verificatioll form attacbed
(Jflkp'''''#1l~ll
~se I NAture Drworkfr~4<:E:__k~_J.::.~C;M,c~.___._
Number Df Fixtures:
lblhfllb
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To' /.cJ
1U;r. Sir.k
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Stdiii7--:r
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N:.^ture.
DKtric CtJDtrador
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\ Sanitaly Sewer
f SIGJlfi: Sewer
r .
f Water Sen'JCe
l~
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y,'., tIt
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F.~um si!>lc.
k.J'I)' ~fl1k
J '>100 Sink
l' f'W;p Si&k
Suv Sin"
\\'...1"'" S\la'~l:r
1..".,a1 Wad;;
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Jk~r TnI'
..-Ilw;rnt Sink
Sarw:un" SmJc
1Jl\.>akml so:.
I)ip Wcll
1 h>l;e Hif,e;
tlll (;rCJI~C Tn,1:'
J.:.xt rJr"Il<;r Tf.~
R.P.7.. V"'\'~
Sh3l'll!7 Sifl!;'
H.rjW~1 Sill"-
OR
Date_1'jJ.r:iq -
OlndllStrW
Call:" fW;m
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Gar /Jgjjf
S,'d? Vi'P
.C~ Mak.,t'
Cum"'. t,,-,e Millet"
Sire DaIiIl
NCI<.;/ Ut'~i"
!i,Qo;dp R~..
F.,...... W"shStn
Wll $tw.-:r MIlS
Lkdu'*-': \ (tH~ft,
W1't' ['""I'/: Urn
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Sji'~
Mmctial
Type
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