HomeMy WebLinkAbout0126867-Plumbing (faucet)
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OSHKOSH
ON THE WATER
Job Address 24 ALLEN AVE
CITY OF OSHKOSH
No
126867
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner GLORIA J PAULICK Create Date 09/19/2007
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 AHERN-GROSS INC.
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
l
~FR / REPLACE STANDARD BATH/SHOWER FAUCET WITH PRESSURE BALANCED FAUCET **check #1346
I
I
I
I
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1518920000
$0.00 Permit Fees
$25.00 D Permit Voided I
Valuation $400.00 Plan Approval
Issued By &n&
Date 09/19/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 218 S MAIN ST FOND DU LAC WI. _ 54935 - 0000 Telephone Number 920~9~1_-1414
To schedule inspections please call the Inspection Request line at236-5128 noting the Address, Pimnitlllumber, Type of I
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two busines$ days from the time the project is ready.
City of Oshkosh
Inspection Services ))jvisioll
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
C IV 0
~
OfHKOfH
ON THE WATER
SEP 1 9 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
I
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described. the work to conform t~ the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and arc bound hy said statutes. .
Plumbing Permit AIWlication
ti~
Job Address 24 Allen St.
Value (Including lahor and materials) $ 400.00
Date 9-6-07
Contractor
Ahern-Gross Plumbing
Owner
Gloria Paulick
IXlSingle Family
DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
Number of Fixtures:
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Lndry Standp
Disposa 1
Dishwasher
Sump Pump
Ejector/Grind
Walcr Sonner
Local Waste
Clothes Wshr
Didet
Beer Tap
Classnn Sink
Surgeons Sink
IIrcakrm Sink
Dent. Oper
Dip Well
Drink Ftn
Wait. 51.
Ice Che~t
Exam Sink
Shamp Sink
I'lr/Wsl Sink
Catch Ilasin
Wash Ftll
Urinal
Oathtub Fat.n=t
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas rJ Electric IJ Power Vent
_-1.._
Sterilizer
Gar Drain
Sculry Sink
!land Sink
F Prep Sink
Scrv Sink
Inl Grease Trap
Ex I Grease Tra r
Soda Disp
CoffC\l Maker
Ice Maker
Site Drain
lUlOf Drain
Standp Ree
Electric Contractor
OR
o EIV form attached (If Replacement)
Use I Nature of Work
Pep1a:::e starrlard tath/ slu-a' fat.n=t w/pressure talarurl fat.n=t.
-.-..-....-. ._.._~ ._-----~---_._-------_..- ---- .--
Size
Material
Type
II
COlln. Type
$ 25.00
Sanitary Sewer
Storm Sewer
Water Service
..._~._..._______.._...__.__.u___.__________.__._---_._._----
. 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 greater.
OR
Check here if~_~~n~_~.I:j~rocessed through your a~.!: 0