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Home My WebLink About0126763-Plumbing (interior) .. CITY OF OSHKOSH ~~ OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1120 PHEASANT CREEK DR No 126763 2 Shower Floor Drain Owner CYPRESS HOMES Create Date 08/29/2007 Category 410 - Residential-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Flr/Wst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ Valve Beer Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Contractor SBS PLUMBING LLC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind 2 Hose bibs 4 3 1 New Single Family Home /Interior plumbing, power vent water heater. "A" value is 45. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # $7,500.00 $140.00 D Permit Voided I $0.00 Plan Approval Permit Fees Date 09/13/2007 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 4635 RED FOX RD OSHKOSH WI 54904 - 7784 Telephone Number 920-410-5933 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. City ofOsbkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903"1130 Phone: (920) 236-5050 F!lX: (920) 236--5084 NOISIAIO S3)IA<J3S NOID3dSNI .LN3Wd0l3J\30 illNnWWO) :10.LN3ltUtlVd30 C3AI (I) :J3~-1!QIH LOOZ , I d3S Plumbing Permit Application Disposal Dishwashc:r Sump Pump E'JeCtor/Qrind WatQ" Soflncr Local Waste C1othes.Wshr Bidet Beer Tap C1assnn Sink Surgeons Sink Breaknn Sink Dip Well Hose Bibs Size Material I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnOed, the work to confonn to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. . 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. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is grea*. OR 1 ou are a contractor artici atin in the Permit Fee Account S stem and h i u want this rocessed throu hour ac ount Job Address ; I db V heO\~{\ \- Cf'~ Value (lncIUdinglaborandnelJ:ria]s~ '/ J"'00. 0<> Date q - ~ -07 Owner ~{,fJf;c;, l-\cMe.S. ~ontractor S B 5 P Lum'8 IN (;, ~iDgle Family Onnplex OMulti-Famlly []Rental DCommereial OIndustrial Number ofFixtDres: ~ Bathtub Whirlpool lavatory Toilet l.\ ~ -L Res. Sink Bar Sink Water Heater -1....-. o Gas 0 Electl!tPwrVnt Shower -L- Floor Drain \ Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures J1. Electric Contractor \ -L -L.. \ ~ Use I Nature of Work DrinkFtn Wait. St. Ice Chest Exam Sink Scuhy Sink Hand Sink FPrepSink Serv Sink IntGreaseTT3p Ext Grease Trap RP Z. Valve Shamp Sink FJrIWst Sink CatJ:h Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Malter Site: Drain Roof Drain Standp Rcc Eye Wash Sin Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs -cfJ OR OElectric Installation Verification form attached (IfReplac:ement) Type # Conn.. Type Sanitary Sewer Storm Sewer Water Service