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HomeMy WebLinkAbout0127310-Plumbing 0,1 OSHKOSH ON THE WATER Job Address 2213 MOUNT VERNON ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD No 127310 Contractor OWNER Bathtub Shower Water Softner Whirlpool Floor Drain Local Waste Lavatory 1 Lndry Tray 1 Clothes Wshr - - Toilet 1 Disposal 1 Bidet Res. Sink 1 Dishwasher 1 Beer Tap Bar Sink Sump Pump Lab Sink Water Heater Classrm Sink Sterilizer Site Drain Breakrm Sink Dip Well Roof Drain Ejector/Grind Drink Ftn Misc. Fixtures Owner ROBERT R VROMAN III Create Date 09/04/2007 Category 410 - Residential-Interior Plan Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink 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 Use/Nature SFR/16' x 20'-3" addition" to include a new laundry, kitchen and bedroom. 12' x 12' deck. of Work I Size Sanitary Sewer Storm Sewer Water Service Material Type # Conn. Type Valuation $2,000.00 Plan Approval $0.00 Parcel Id # 1515940000 Issued By Permit Fees $63.00 D Permit Voided I Date 10/17/2007 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 ,;,,1 ~ It-- ;..-> Date / () -I? -O:r Agent/Owner Address (2}jJ' Oshkosh WI 54901 - 0000 Telephone Number 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 jf the inspection is not performed within two business days from the time the project is ready. City of Oshkosh InspectiG!l Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 (I) OfHKOfH ON THE WATER Plumbing Permit Application [ 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 participating in the Permit Fee Account Svstem and have adequate funds. check here ifvouwant this orocessed throurth 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 EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address */'-vDrV Value (Including labor and materials) 2mo. c.c> Date /0 ~ 17-0;Z .tJ!rf ;P. 0o..-nA-J Contractor ~.Pft"~t..J,d'/ DDuplex DMulti-Family DRental DCommercial Dlndustrial Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater Clothes Wshr C Gas 0 Elect lJ P Bidet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures I ~ -L Drink Ftn Catch Basin Wait. St. Wash Ftn Ice 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 FlrlWst Sink Deduct Meters Wtr Usage Mtrs .e/T r (for projects not requiring an EIV Form) .JI~ fiA'1d,l.<J . / ;~/' , . 1.7!A ~~ ~ ae// / .1'.1 a/ ft""j Electric Contract Size Sanitary Sewe Storm Sewer Water Service Material Type # Conn. Type 07/07