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OSHKOSH
ON THE WATER
Job Address 915 GRAND ST
CITY OF OSHKOSH
No
127602
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner RICKY R1SUSAN R CAVANAUGH 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 #
1002820000
$400.00 Plan Approval
~
$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 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 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: (910) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbin2: Permit Awlication
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descrihcd. the work to conform to the
Wisconsin State Plumbing Code. in the performance of which all parties hereto agree to and arc bound hy said statutes.
V nine (Including lahor and Olalclials)
$ 400.00
Date 10-1-2007
Job Address 915 Grand St.
Owner
Sue Cavanaugh
Contractor". Ahern-Gross ~lumbing
I!lSingle Family
DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
Number of Fixtures:
Bathtub FaJ:et 1
Whirlpool
Stcrilizcr Ilrcakrm Sink
Lndry StandI' l>c.nl. Op,'r
Disptlsal Dip Well
Dishwasher Drink FIn
Sump Pump Wail. St.
Ejector/Grind Ice Chc~t
Water Sonner Exam Sink
Local Waste Sculry Sink
Clothes Wshr !land Sink
13idet F Prep Sink
Bccr Tap Scrv Sink
Classnn Sink tnl (lrcase Trap
Surgeons Sink Ext Grease Trap
Shamp Sink
F1r1WstSink
C'atch Basin
Wash Fll1
Urinal
Gar Drain
,......'
Lavatory
Toilet
Res. Sink.
Bar Sink
Water Heater
o Gas fJ Electric U Power Vent
Shower
Ploor Drain
Lndry Tray
Lab Sink
Plaster Sink
Soda Disp
ColTc.: Maker
Ice Maker
Sile Drain
Roof Drain
Standp Ree
Electric Contractor
OR 0 EIV form attached (If Replacement)
Replace starilani tath!sh:J..a.- faJ:et vJ.i.th presSULe b3.lan:e faJ:et.
Use I Nature of Work
Material
:1~Y1)~--.-RE.eeNE --
Size
Sanitary Sewer
NOV 0 1 Z007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPEcrIOf\f5ERVlIT5D1V1Sm
eApplication(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) will result in fees being doubled or $100.00 plus the nonnalpermit fee,
which ever is greater.
OR
$ 25.00
Storm Sewer
Water Service
Check here i f Y.9.':1_",-'3.!2i_~!:jl?-Er~ed throu~oU1..:.2.~J: 0