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Home My WebLink About0127348-Plumbing (city water) e OSHKOSH ON THE WATER Job Address 2633 W 9TH AVE CITY OF OSHKOSH No 127348 PLUMBING PERMIT - APPLICATION AND RECORD Owner SUSAN C CHOLEWINSKI Create Date 10/18/2007 Contractor M P KELLY Category 410 - Residential-Interior Plan Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker - - - - - - Whirlpool Floor Drain Local Waste - Ice Chest FlrlWst Sink Int Grease Trap - - - - - Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap - - - - - - Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve - - - - - - Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn - - - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs 1 - - - - - - Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters - - - - - - Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs - - - - - - Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp - - - - - Misc. Fixtures - Use/Nature ~bandon connection of well and reconnect with supplied city water lateral ran into home. of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1311960200 Valuation $611.00 Plan Approval $0.00 Permit Fees $25.00 D Permit Voided I Issued By Date 10/18/2007 In the performance of this work, I agree to perform all work pur~uant 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 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number 231-1750 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 POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236~5084 @.... ~ OJHKOfH " . ON THE WATEIl Job Address c/</;3.; &), 9/-i-~ Value (Including labor and materials)' (;1 OW7r ~~/1o-11J.(,o';41'Iontractor . . 0'Single Family DDuplex . DMijjlti~FaQ:lily I \ lhereby apply for a permit to do and install the following plumbing on theprettrises hereinafter described, the work tocO~OtInto the -. ,I'. Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said stattlte.s. . · Application( s) and fee( s) can be brought to CiiY lWI,Ro<Inl 205 or mailed to InSj>colion Services, PO Box 1m, I Oshkosh WI 54903-1128. Commencing work withoutpennit(s)willresultiil fees being doubled or $100.00 plu~the j If v::: ::t,~~t:~::r:::~::;::',"e PermitF~e Accau",SvsleniaMhave adequate fund, , cheek h::: l ifvou want this processed through Vo,ur account n . . " 1>l1te~ .., Plumbing Permit Application Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o GasO Elect 0 PwrVnt Shower FioQr Drain Lndry Tray. Lab Sink Plaster Sink : Disposal Dishwasher Sump Pump Ejector/Grind Water Softner LocalWaste Clothes Wshr Bidet Beer Tap Classrm -Sink Surgeons .Sink BreakrmSillk Dip Well ...........-- DrinkFtn Wait.St. Ice Chest ,Exam Sink ~q4!rY Sink n*h~l~i~~ F PrepSirik ServSink . . ,'JnJf:q~a~e T.rap tMiGi;ease :trap RPiZ.Vai:ve ~hamp.gink .rFlr!WsfSink .~ Catch Basin Wash Ftn Urinal Gar Drain Soda Oisp Coffee Maker Ice Maker Site Drain Roof Drain Stlindp Rec EyeWasliStn Wtr Sewer.Mtrs DeductMeters WitrJ)sage Mtrs Size ,Material DEPARTMENT OF . . COMMUN:rrY DEV.ELOPMENT Sterilizer Misc. Fix.tures ~, Electric Contractor Use IN ature of Work Sanitary Sewer iStorm.Sewer .' . Water$ervice 4/05