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OSHKOSH
ON THE WATER
Job Address 1408 KNAPP ST
CITY OF OSHKOSH
No
12760$
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner FRANK J PAULUS 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 SFR / Replace standard bath/shower faucet with pressure balance faucet.
of Work
Valuation
Issued By
I
Size
Material
#
Conn. Type
Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1306730000
$400.00 Plan Approval
r2~O
$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
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
Oshkosh, WI 54903-1130
Phone: (910) 136-5('150
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbin2 Permit Am>lication
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 all parties hereto agree to and arc bount! hy said statutes.
Job Address lL03 Kn::q;p St.
FLank Paulus
Value (Including lahor and materials)
$ 4(X). OJ
Date 9-26-2007
DDuplex
Contractor
OMulti-Family
Ah=m-Gross Plurbing
Owner
[!}Single Family
DRental
DCommcrcial
Olndustrial
Number of Fixtures:
Bathtub Far.et 1
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Electric U Power Vent
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Breakrm Sink
1.1Il1ry Standp
Disposal
Dishwasher
Sump Pump
Ejector/Grind
WaleI' Sonner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classon Sink
Surgeons Sink
Dent. Oper.
Dip Well
Drin k Fin
Wait. SI.
lee Clie~;t
Exam Sink
Sculry Sink
I land Sink
F Prep Sink
Scrv Sink
lnl Grease Trap
Ext Grease Trap
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftll
Urinal
Gar Drain
Soda Disp
ColTe~ Maker
Ice Maker
Site Drain
I{oof Drain
Slandp Rec
Electric Contractor
OR
o EIV form attached (If Replacement)
Use I Nature of Work
Replace starrlarU b3.th/shMer fau:et with pressure bllar1::e fau:et.
.
M."d.! --'-;,REi.tE-NfiD--
NOV 0 1 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
---------INSPECfIONSERVICES DIVISION---
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, OshkoshWI
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
Size
Sanitary Sewer
$ 25.00
Storm Sewer
Water Service
Check here if you w..'3!:.i___t.!:j~rocessed. throu~oul.~~Count 0