HomeMy WebLinkAbout0127445-Plumbing
e CITY OF OSHKOSH No 127445
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2034 MENOMINEE DR Owner HELEN G MUELLER REV TRUST Create Date 10/23/2007
Contractor LARRY HANSEN PLBG
Category 410 - Residential-Interior
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
2 silcocks
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Kitchen remodel, shower valve replacement and install 2 new silcocks. Check #15753
of Work
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
I
Valuation
Issued By
Size
Material
#
Type
Conn. Type
Parcel Id #
1512000000
Date 10/24/2007
Sanitary Sewer
Storm Sewer
Water Service
$800.00
$0.00
$35.00 D P~rmit Voided I
Plan Approval
Permit Fees
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address N-1044 TOWER VIEW DR
Agent/Owner
GREENVILLE
WI 54942 - 8683 Telephone Number 920-757-6863
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
:c'---
May, 14. n07 12:j6PM
City of Oshkosh.
Inspection Services Division
POBox 1130
O$hkosh, WI 54903-1130
Phone: (920) 236.5050
Fax: (920) 236-S084
i~5Dedion serVICES
i 35
Ih 2et}1 p, 1
~
D~tKQJli
Plumbing Permit Application
l hereby apply for a permit to do and install the following plumbing 011 the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the perl'orrnauce of which all parries hereto agree to and are bound by said statutes.
· Application(s) and feces) can be brought to City Hall, Room 205 or mailed to lnspection SefVlces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work wit.~out pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
~rvou are a contractor varticil>ating in the Permit Fee Acc;.pun..LS.vst(lm and hgJl.~!1fll.f..1wds deck here
- L[V01{ want this processed thrOUllh your account 0
~
Job Address ;;;'Cf!J.4.t--1.!u>~ st V alu elm,""", _ ,," "'''''.')~~ 0 (') 7fT/Date leY-I Ur-- Of
Owner f)91(YScth0(\lO+ Contractor 1~---4&. .W~-,
~ingle Family DDuplex DMulti-Family DRentaJ DCommercial Dlndustrial
Number of Fixture$:
&thl:>.Ib
Whirlpool
Lavatory
lollft
Res. Sink
Bar Sink
L
Disposal
Dishwasher
Watet H~lIler
o Gas 0 Ele-:l U PwrVnt
ShOWllT L-
Fioof Drain
. "r';ldiy Tray
Lab Sink
Plaster Sinlc;
Sterilizer
~
Clothes Wshr
Bidet
Beer Tap
Ctumn Sink;
SurSl:OllS Sink
flrcakrm Sir.k
nip Well
Hose BIbs
x
Drink Fin C a tc h Basin
\Vail $l Wash Fin
lee Chest UliMI
E;:<am 5 ink Gar Drain
SCl;lry Sink Soda Di,1'
KIlle Sink Coffee Maker
" Prep SiIlk Cumm. Ice Maker
Scrv Sink Silr. Drain
Int Grease Tmp' Roof Drain
Ext Gre1lSol Tnp Slandp R,.c -T
R.P.Z. Valve Eye Wash Sm
Sllall1p Sink WIT Sewer Mil's
FJrl\Vsl Sink Deduct Mitf./'S
Wtr Usage MIrS
Sump Pump
L ~ EjectorfGrind
, -t' Warer S~f:ncr
, Local Wssu.
,Misc.
Fix:ures
Electric Contractor
OR
DElectric Installation Verification form attached
(!fReJ)]IlC~=I)
t"se / .Nature of Work .
I s..;<ary "'-
Storm Sewer
, Wat~r SCT"I1Ce
Size
Material
Type
II
Conn. Type ,
,
i
i
J
::"/05