HomeMy WebLinkAbout0127407-Plumbing (toilet & shower)
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OSHKOSH
ON THE WATER
Job Address 933 STARBOARD CT
CITY OF OSHKOSH
No 127407
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CARL B/CHRISTINE A TOWER
Create Date 10/22/2007
Contractor KOCH PLUMBING
_ Category 410 - ResiC!e~~a.!-I_nl~!lo~____________ Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/NatureSFRTR-EPLACE TUB WITH-SHOWER AND REPLACE-TOCCEt--.'debt acct-------------------
of Work i
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1522540000
$25.00 D..!'~mit.~i9~
Valuation $1,600.00 Plan Approval __JiO.OO Permit Fees
Issued By &11&
Date 10/22/2007
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 29_05 DgTY ST OSHKOSH _ __ '!'II ?4902 - ~049 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.
It 22 07 12: 30p
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
~
OfHKOfH
ON THE WATER
235-'-0282 p.1
Plumbing Permit Application
I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the penormance 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. Conunencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If }IOU are a contractor varticipatin'Z in the Permit Fee Account System and have adequate funds. check here
if YOU want this vrocessed throuf!.h your account n
Job Address 93.3~4/W/4~1 Cr, Value (InCIUdinglabOrandmaterial(I'hOc.:7 e:?.., Date ItJ-zz-07
OwneC 13.iA2/~~ :/b~~-:;:;~t:.- Contractor Kt7c// /f?U/~/6//~
[RlSingle Family DDuplex DMulti-Family DRental DCommercial DIlldustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower ~
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
-L
Sterilizer
Misc.
Fixtures
Electric Contractor
Use I Nature of Work
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Brealam Sink
Dip Well
Hose Bibs
DrinkFtn 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
In! Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP.Z. Valve Eye Wash Sin
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct MeterS
Wtr Usage Mtrs
OR . DElectric Installation Verification form attached
(If Replacement)
C./,C/,?VZ {v/S 0f7/1 s/l~,5:
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/ .;;...-"..(:.'/.;~ /"
.1""'.1 ....r.L1 ' ...,d /" /.,,'
t:...;r- r ':':":.J'I;-:::,r ~:....r ft~~
Sanitary Sewer
Size
Material
Type
#
Conn. Type
Storm Sewer
Water Service
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