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Home My WebLink About0126952-Plumbing (scullery sink) fDJ ,~ ~ OSHKOSH ON THE WATER Job Address 500 502 504 N MAIN ST Contractor WELLNITZ PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation CITY OF OSHKOSH No 126952 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner TERRY LAIB Create Date 09/26/2007 Category 440 - Industrial-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 Install scullery sink and 30 gallon elelctric water heater. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0401080000 $2,500.00 Plan Approval $0.00 $25.00 0 Permit Voided I Permit Fees Issued By Date 09/26/2007 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 d 10 se re any necessary approvals before starting such activity. Signature Date 7' - 2 b'" C!J' Agent/Owner Address 4810 AMBERWOOD LN APPLETON WI 54913 - 7924 Telephone Number (0)231-7390 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 P Q,Box 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ON THE WATER Plumbing Permit Application 1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the VVisconsin 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 VVl 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 If vou are a contractor particilJatinf! in the Permit Fee Account Svstem and have adequate funds, check here if vou want this processed through vour account ~ ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address S-OO -N. /J1.4,'/J Owner :1T ?;lj L~. ~ DSingle Family. Duplex Value (Including labor and materials) d tJ -6('), <'0 Date q - 2 .6 -0"> Contractor WL-' // AJ --I- z.... P~'''1.6;'..;:J [2m1ulti-Family DRental DCommercial Dlndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater ~ o GasrfElect CJ PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. F ixtu res Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr , Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Drink Ftn Catch Basin Wait. St. Wash Ftn lee Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters WtrUsage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use I Nature of Work Add./'J . 'iCOI"? 4r-IJ'VlP;J-J.. ...s,,";v~ Conn. Type Size Material Type # Sanitary Sewer Storm Sewer VV ater Service 07/07