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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