HomeMy WebLinkAbout0126830-Plumbing (toilet/kitchen sink)
e CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1640 ELMWOOD AVE
No
126830
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Owner GAIL F ANDERSON Create Date 09/18/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst 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 D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UsefNature SFR / Replace basement toilet and owner supplied kitchen sink. **DEBIT ACCT**.
of Work
Sump Pump
Classrm Sink
Breakrm Sink
EjectorfG ri nd
I
I
j
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1202060000
$25.00 D Permit Voided I
Valuation ~~,150.00 Plan Approval _ $0.00 Permit Fees
Issued By ~
Date 09/18/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
OSHKOSH
Address 1865 JAMES RD
WI 54904 - 6873 Telephone Number 920-589-4014
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the prOject is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready. .
Ol,'\.' of Oshkosh
Ttl$~top. s..t1V~!:; Dt';isioR
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PhOrlC: (920) 236-;050 .'
Fax: ('JUI) 236.50M
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Plumbing Permit Application
Iltereby apply for.., pemUt to do and i~1aJJ tJae foUowing plu..mbmg on tbe promjscj hcreiMhcrdcs:cribcd tile ~k to ciJIlfonn (0 !~
Wisr.~ Slate PIUnt~ Code. in the peUDmIaUI;C oJ' wJlidl aU pI.11ies. kn:to 3BJ'CC 10 and ltJ'C botmd bt .said starures
. ApplWakonts) and f~s) aut be I>>voghJ to C.ify HaIl~ Roan 20' or mailed to lnspedion Services.. FO Bo.II J 28.
Oshkosh Wf 54903...1l28. COJl'B1lCGCiAg ".ork .itbout ~-mtir{!I' wdlJe.lUtI ia lb:s being dovbIed or $' {)O ,00 pia rJw
norma! penuit k~ whiell ever is gtea(Cr.
OR
!lJ~!1JU!!e a (;1)mr~{lW/lQrlicipllli"[( I" 1ft Pk,..il Pet! .A~_SvS!ehl glUt htJ:v, adetlUOII! f/;mJ~, G."~clt 1I.I'e
IfJ:!2J!. ~1J"'lhjs P"!?f::.I{!.ftS,J/ JNrollp VOIll' Qt"C'1llU!LD
Sob Addnft..i.kYD ~l.v~ .J V€
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0S'ingie ,.-, 00"'1
ValUl:fifto.-w..ctllJctcllllllrn2rial.4) ~j( ~Q~Date~p7 !O~-
CeMnaw b.r<,QiA-u! P'-t~
(]Mult...'....iIy 0..... OcomR1erdiItJ
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Num ber Df'istures:
"-.0' .....lllll'.
UrPIl Pm C;Ao:b a-
W*A ~'t. Wll.~fr'! ..........----
\u. ~"t-..w.. . .-.1,
foil_ St"" Gar IJni.t
s,;ufo)- ~iIlk H.~d" 1),..-
J btof Sink 'C~ ~hk<!"
1; _Sill Cmnm, /i;&t lUkt
SIrv Sin" Sm: D.Iirr
fwlj <;rC1f<M: Ttap Rot" Utili"
t.xl f.trt:tl':>1: Tf.~ ~"'llR~.'
'U.]._ v.c F.,lilS \\',Jsh SIn
Shamp sial \\Iv $tl!IoY MIr5
1:k;\\-.u !o'it"'- Lkdl1~: \f~:,.....
\\"R-l~l: M'rt'>
l\l';kt
ltcr.:tei
ow s.;.JJ:
\\'~,~Jal!f'
no. -: fk.-a q Pt",'\"at
-1-
.J.-
~
~tf
~~
~.n.r
1hIhfub
't\.'btripI..lf
TI_1&~
L.l:IdI]. 'J~
Lab <~.ink
1'1~'>tt.'1' Sink
!..j_lW;ui;:
U... w.
hiJ.~
Joko.<r Tl\l'l
U-.vtfl Sini.
~.$iM
IJrtaalfml Sidl.
.,. Wdl
ll,~e ~
Slw""t'T
Pln.,rll1ljp
Sldjk~
\n~.:,
N..;sure.
EI<<trit ClHItrJkW
Sit'.e
Mmcriat
OR [JE'ettric IllstaUatMm Verifiatiea ,... atnlelted
(lfRqt'....,~)
a.LJA~ D~~ ~..J ~S ~ --....--.--
Type . # C';;;'. Typc-l 11-~ ~ 30
. ~ECEIVED
Use I Natur~ orw.... 'mL~.._Es..~r~SL~":,
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\ ~ Sc,m.'C,
f Storm: Sc.~r
i
! WSW!' !;en"ice
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SEP 1 8 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION