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OSHKOSH
ON THE WATER
Job Address 329 HAWK ST
CITY OF OSHKOSH
No
127604
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WilLIAM J/CAROL M GEE REV LIVING TRUST Create Date 11/01/2007
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd
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 SFR 1 Replace standrad shower faucet with pressure balance faucet.
of Work
Valuation
Issued By
Size
#
Conn. Type
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1609070000
$400.00 Plan Approval
$0.00 Permit Fees
$25.00 D Permit Voided I
!2/TJ1.;<:7
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 (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 of Oshkosh
Inspection Services Division
POBox 1130
Oshkos~ WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON fHE WATER
Plumbing Permit Awlication
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descrihed, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and arc bOllnd hy said statutes.
Job Address 329 Hawk Street
V.due (lncludint: lahor and m:ttclia!s) $ 400.00
Date 10-10-2007
DDuplex
Contractor
DMulti-Family
Ahern-Gross Plumbing
Owner
[!lSingle Family
Carol Gee
DRental
DCommercial
Dlndustrial
Number of Fixtures:
Bathtub
Whirtpool
Lavatory
Toilel
Res. Sink
Bar Sink
Water Healer
o Gas fJ Electric U Power Vent
Shower Faucet 1
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Stcrilizcr
Ilreakrm Sink
Lndry StandI'
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Sonner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Dent. Opcr.
Dip Well
Drink FIn
Wait. St.
ke Che~;1
Exam Sink
Sculry Sink
Iland Sink
F Prep Sink
Serv Sink
lnl Grease Trap
Exl Grease Trap
Shamp Sink
Flr/Wsl Sink
Catch Basin
Wash FIn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Sile Drain
Roof Drain
Slandp Rec
Electric Contractor
OR
o EIV form attached (If Replacement)
Use I Nature of Work
Replace standard shower faucet with pressure balance faucet.
Size
Material
..;...-.---Rr.= ~ E I V- c n____
l)'pc ~ i1:onn.~
NOV 01 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
1"'\1\1 'SERVICES DIVISION
.._... __..._._...____....._.WSp.eal.UL'L ----.--.---.-.-..----
$ 25.00
Sanitary Sewer
Storm Sewer
Water Service
. 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 pennit(s) will result in fees being doubled or $100.00 plus the nonnalpennit fee.
which ever is greater.
OR
Check here if~_"'-'!!}-t_-t.!:j.E-P.rocessed through your account 0