HomeMy WebLinkAbout0127099-Plumbing
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OSHKOSH
ON THE WATER
Job Address 6 LAKE ST
CITY OF OSHKOSH
No
127099
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor KOCH PLUMBING
Shower
Owner THOMAS J/KRISTI J MCGUIRE Create Date 09/12/2007
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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFRI Remodel billiards and adjacent bedrooms and install bar sink with AAV and residential ice maker. "Late Permit"
of Work
Valuation
Issued By
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
;
i
I
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0803750000
$2,000.00
Plan Approval
$0.00
$25.00 0 Permit Voided I
Permit Fees
Date 10/04/2007
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 2005 DOTY ST
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
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.
~ct 03 07 12:04p
City: of Oshkosh
:rmPect;on Service> Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(920)
235-0282 p.l
~
OJHKOfH
ON TH E 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 ofwbich 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
nonnal permit fee, which ever is greater.
OR
I in the Permit Fee Account S
our account
Job Address t: LA/~~
Owner TtJ ty1 Mea t// ;2/'=-
I2tSingle Family DDuplex
Value (Including labor and materials) ZOO CJ ~
Contractor Ie.. oc/I 12/.5 ~
DMulti-Family DRental DCommercial
[]Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
-,-
---L-
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Date 10-3-c/"1'
Disposal
Dishwasher
Sump PUlllp
EjectorfGrind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
BreaJam Sink
Dip Well
Hose Bibs
DrinkFtn
Wait. St.
Ice €ftcIt ItIMO:It-
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
ServSink
Int Grease Trap
Ext Grease Trap
RP.Z. Valve
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
-'-
Roof Drain
Standp Rec
Eye Wash Sin
Wt:c Sewer Mtrs
Deduct Meters
Wtr Usage Ml.TS
OR
DElectric Installation Verification form attached
(If Replacement)
Use I Nature of Work 1A/.s7/fC"'C. l3",4a:. -:5//%4(' .~ /~~'~".:,;,~,<</:;';i:Jl;.?-':::::'
"
Sanitary Sewer
Size
Material
Type
#
Conn. Type
Storm Sewer
Water Service
11/05