HomeMy WebLinkAbout2007-Plumbing
e
OSHKOSH
ON THE WATER
Job Address 837 WOODLAND AVE
Contractor ECHELON PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
2
1
CITY OF OSHKOSH
No 127051
PLUMBING PERMIT - APPLICATION AND RECORD
Own~ JACQUEUNELNORDBO
Create Date 09/17/2007
_ Category 1l9__-:13esi<!~nti~~lnt~!ior __________~~_ Plan
2 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
eFRlIO'erio' ,emodel' Add. ,<<I '00' m,,'e, bedroom. All w",k ,h.II oooform '0 0","'0' oode """'emeo', " 'h,3id.o", I, ,""eolly -. .
lunfinished. Some of the major items thatwill be revised are ceiling height, 2nd stairway and remodeling the existing
I
I
I
Use/Nature
of Work
i
__J
L-
Size
Material
Type
Conn. Type
#
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0505620000
Valuation _~~,OOO.OO Plan Approval
Issued By
$0.00 Permit Fees
$35.00 0 Permit V<?i9~
Date 1 0/02/2007
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
e"emeo' hold~e,"'" '~PP',"'" belo", ".rt'og ,ooh .ct"ity
Signat~~ ~--C;;;2
Agent/Owner
Date /o-c9-c>?
Address 415 W ELM DRIVE UTTLE CHUTE WI 54140 - 0000 Telephone Number 920:~15-2767 _
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, 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 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
If vou are a contractor particioating in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account n
** 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 EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
Job Address ~.~ 7 IAA'Jcy://ql1Cji Value (Including labor and materials) c,:tJOtJ
~ner ~&Jj,'e //J1e IVordbo Contractor
~Single Family / DDuplex DMulti-Family
Date /O-d-6,/
> I d EC~ e--/c.l! /} (//116.
ndustrial~,r~
Number of Fixtures:
Bathtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wait. St. Wash Ftn
Lavatory ~ Sump Pump Ice Chest Urinal
Toilet -I- Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker
C Gas C Elect 0 PwrVnt Bidet Serv Sink Site Drain
Shower ~ Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn
Lab Sink Breakrrn Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well FlrlWst Sink Deduct Meters
S teri I izer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work
.---
Material
Type
#
Conn. Type
Size
Sanitary Sewer
.. .' (I?
tf- t ;j
(2// 57" f /U,...y
C /"'Y ~
Storm Sewer
VV ater Service
,I ?
I b
LeteGI
07/07