HomeMy WebLinkAbout0127391-Plumbing (fixtures)
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OSHKOSH
ON THE WATER
Job Address 1726 GEORGIA ST
CITY OF OSHKOSH
No 127391
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor J RASMUSSEN PLUMBING INC
Owner DAVID D/STACY L KROPIDLOWSKI
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtutes
Use/Nature
of Work
Category 410 - Residential-Interior
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date 10/22/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
[SFR7Replace lav, tolTet & showerln same loCatron~ ..DEBrfuACCT';;;\----------~---~--------------
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Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
Conn. Type
Parcel Id #
1405870400
#
$1,000.00 Plan Approval ~_____$O.QQ Permit Fees __~.OO 0 ~Elrmit_\f~i_~
---a~
Date 1 0/22/2007
--
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 1914 GREENBRIAR TRL
OSHKOSH
WI 54904 - 8887 Telephone Number 920-231-1289
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.
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1B/2B/2BB7 14:53
Ci.ty {li:' O~lhk(J$h
1J\~~.c~i01' Services Divi~li()n
P 0 H(lx 1 nO
08h:k.osh, WI. 54903.,1 PO
Phone: (92()) ~J(:i.5O::iO
Fax: (~20) 1J6...s0~4
2335747
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Plumbing Perm~t AppUcat.ion
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