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OSHKOSH
ON THE WATER
Job Address 831 W 1 OTH AVE
CITY OF OSHKOSH
No
127603
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner STEVEN P WEBER Create Date 11/01/2007
Category 410 - Residential-I nterior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor AHERN-GROSS INC.
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
~FR / Replace standard bath/shower faucet with pressure balance faucet.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1302750000
$400.00 Plan Approval
tf/'neJO
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 11/01/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
AgenUOwner
Address 218 S MAIN ST
FOND DU LAC
WI 54935 - 4908 Telephone Number 920-921-1414
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-51\50
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Awlication
J hereby apply for a permit to do and install the following plumbing on the premises hereinafter described. the work to conform to the
Wisconsin State Plumbing Code, in the performance orwhich all parties hereto agree to and are bound hy said statutes.
Job Address 831 W. 10th Ave.
$ 400.00
Valne (Including lahor and matcrials)
Date 10-12- 2007
ODuplex
Contractor
OMulti-Family
Ahern-Gross Plumbing
Owner
IK]Single Family
Steve \-Jeber
ORental
OCommercial
Dlndustrial
Number of Fixtures:
Bathtub Fau:et 1
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Waler Heater
o Gas rJ Electric U Power Vent
Shower
Floor Drain
lndry Tray
Lab Sink
Plaster Sink
Stcrilizcr Ilrca~rl1l Sink
Lndry Standp Dcnt. Oper. Shamp Sink
Disposal DipWcll Flr/Wsl Sin~
Dishwasher Drink FIn Catch Basin
Sump Pump Wait. SI. Wash Ftn
Ejector/Grind lee Chc~t Urinal
Water SoOncr Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr I land Sink Coffee Makcr
Bidet F I'rep Sink Ice Maker
Beer Tap Serv Sink Site Drain
Classrm Sink Inl Orease Trap Roof Drain
Surgeons Sink Ex! Grease Trap Standp Rec
Electric Contractor
OR 0 EIV form attached (If Replacement)
Rep1ac:e stan::Jard tath!shJ,;er fau:et with pressure l::a12n::e fau:et.
Use I Nature of Work
--.. -.-_.._.._.._----~._-----------------~' .--
Size
Material
Type
RECElVED
NOV 0 1 2007
$ 25.00
Sanitary Sewer
Storm Sewer
.
DEPARTMENT OF
COMMUNITY DEVELOPMtNl----
TNS8ECfION SERVICES DIVISION
Application(s) and fee(s) can be brought to City Hall, Roonn :5 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the nonnalpermit fee,
which ever is greater.
OR
Water Service
Check here if you tv'..9.!2-~__~i}_~.E..J2rocessed throu~oUl.:..i!.~coun.!: 0