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OSHKOSH
ON THE WATER
Job Address 705 GROVE ST
CITY OF OSHKOSH
No
127607
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner PAUL K KLEMP Create Date 11/01/2007
Category 410 - Residential-Interior 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
SFR / Replace standard bath/shower faucet with pressure balance faucet.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1105960000
$400.00 Plan Approval
t2/hVO
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 11/01/2007
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
FOND DU LAC
WI 54935 - 4908 Telephone Number 920-921-1414
Address 218 S MAIN ST
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.
City ofOsbkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-51'50
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Al!Plication
I 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 of which al\ parties hereto agree to and arc bound hy said statutes.
Job Address 705 Grove Street
Owner Paul Klemp
Value (Including labor and materials)
$ 400.00
Date Sept. 14, 2007
Contractor Ahern-Gross Plumbing
rnSinglc Family
DDuplex
DMulti-Family
DRental
DCommcrcia)
Dlndustrial
Number of Fixtures:
Oathtub Faucet 1
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas rJ Electric U Power Vent
Shower
Floor Drain
L.ndry Tray
Lab Sink
Plaster Sink
Sterilizer IIreahlll Sink
Lndry Standp Dent. Oper. Shamp Sink
Disposal Dip Well FlrfWst Sink
Dishwasher Drink FIn Catch Basin
Sump Pump Wait. SI. Wash FIn
Ejector/Grind lee Che~t Urinal
Watcr Sofincr Exam Sink Gar Drain
Local Waste Seulry Sink Soda Disp
Clothes Wshr lIand Sink Coffee Maker
l1idet F Prep Sink Ice Maker
Beer Tap Serv Sink Site Orain
Classon Sink lnl Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rec
Electric Contractor
OR 0 EIV form attached (If Replacement)
Rep1a:::e starrlard tath!sh:JM2r fau:et w/rressure ta:l.an:e fau:et.
Use / Nature of Work
.
Material ------.-- -:j:R-e-
NOV 0 1 2007
DEPARTMENT OF
________---------€9MMUm!'LDE\lt:1QI:t'-~~~----- -
INSPECTION SERVICES DlVISIO
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. Commencing work without permit(s) win result in fees being doubled or $100.00 plus the nonnalpennit fee,
which ever is greater.
OR
Siz:c
$ 25.00
Sanitary Sewer
Storm Sewer
Water Service
Check here if y!?!:1_w:?nt_tJ:-~.E.Y.rocessed throug~.EUl2-ccou~!: 0