HomeMy WebLinkAbout0126831-Plumbing (shower)
e
OSHKOSH
ON THE WATER
Job Address 1565 MARICOPA DR
CITY OF OSHKOSH No 126831
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DONALD R SIMONS/G M SCHAEFFER Create Date 09/18/2007
Plan
Contractor SBS PLUMBING LLC
. Category 410- Residential-Interior
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
EjectorfGrind Drink Ftn Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UsefNature ISFR / Change master bath tub to a shower. **DEBIT ACCT**.
of Work I
L
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
__J
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
Valuation
$1,500.00 Plan Approval
--~-ll0(4
$0.00
Parcel Id #
1319350000
Permit Fees
Issued By
$25.00 0 Permit Voided I
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
Address 4635 RED FOX RD
Agent/Owner
OSHKOSH
Date
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 of Oshkosh
Inspection. Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJH<OfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the pt'emises hereinafter descnl>ed, the work to conform 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 mail~ to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If "IOU are a contractor oarticipatinr: in the Permit Fee Account System and have adelluate funds. check here
if you want this processed thr()ugh "lour account p
Job Address !Sb5 f'1c\i;'o~ Or. Value(Jnc:ludinglabonndmaterials) I~~. c>.o Date '1/17 Jt')rJ
Owner? (~:..~\F7::t~~;) Contractor 50s ?/uf'1b~7 L(C
rKlSingle Family D>>uplex LlMulti-Family OR,ental DCounnercial DIndustrial
Number of Fixtures:
Bathtub
Whirlpool
lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 EJec:t 0 PwrVnt
Shower -L-
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Disposal
Dishwasher
Sump Pump
EjectotlGrind
Water Soflner
Local Waste
Clothes Wshr
Bidet
Beer Tap
CIasmn Sink
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
DrinkFtn
Wait. St.
Ice Chest
Exam Sink
Scuhy Sink
Hand Sink
F Prep Sink
Serv Sink
Jnt Grease Trap
Ex.t Gn:ase Trap
R.P.z. Valve
Shamp Sink
FIr1Wst Sink
Ca\l:h Basin
Wasil Ftn
Urinal
Gar Drain
SodaDisp
Coffee Maker
Comm. Ice Ma~er
Site Drain
Roof Drain
Standp Rec
Eye Wash Sin
Wtr Sewer Mtts
Deduct Meters
Wtr Usage Mtrs
Misc.
rJXtul'eS
Electric Contractor
OR []Electric Installation Verification form attached
(IfReplatement)
5 w~ tL~ l'1~s4er ~tAb 10 ~ 5' ~t....Jer-
Use I Nature of Work
Size
Material
Type
#
.'h \
1 8 2007 ~ u
D RTMENT OF )~
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
EIV
SaniIBry Sewer
Storm Sewer
Water Service