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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