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HomeMy WebLinkAbout0127666-Plumbing cD OSHKOSH ON THE WATER Job Address 820 W 18TH AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner TODD AlMARY E KRUEGER Contractor FIELDS PLUMBING Category 410 - Residential-Interior 4 3 1 Shower 2 Water Softner Wait. St. Shamp Sink - Floor Drain 1 Local Waste Ice Chest Flr/Wst Sink - Lndry Tray 1 Clothes Wshr Exam Sink Catch Basin Disposal 1 Bidet Sculry Sink Wash Ftn - Dishwasher 1 Beer Tap Hand Sink Urinal - Sump Pump 1 Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp SILCOCK No 127666 Create Date 10/19/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature NSFRllnterior plumbing with gas water heater and sanitary pit. Water calc sheet required to be submitted for sizing water distribution. of Work 2 I Valuation Issued By Size Material Type # Conn. Type $10,900.00 Plan Approval $0.00 Permit Fees $161.00 0 Permit Voided I Parcel Id # 1409990000 Sanitary Sewer Storm Sewer Water Service Date 11/06/2007 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 e~sement holder(~ and to~re ;3" ner~~~_~~~~_:t:~in._~SUCh activity. Signature J\}--GuLf 1"'. Agent/Owner Date ;Uuu b --()~ Address 1939 SOUTHLAND LN NEW LONDON WI 54961 - 0000 Telephone Number 920-982-5813 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. Dty of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 (Q) OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a permit to do lill,5Iwstall 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 are bound by said statutes. . 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) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If YOU are a contractor varticipatinf! in the Permit Fee Account System and have adequate funds. check here if YOU want this processed throuf!h your account n Job Address ~D \;vi \<6th Value (Including labor and materials) It) 7~(),Od DateNOJS -(j'7 Owner TOJ2l.{ ~f kV'l/~~1' Contractor ~~~ >i-~ d;.....le Family DDuplex DMulti-Family DR. e~talfJ (\. DCommerciatl ~ D....lIndustr.ial. ~ T~S .t>~~~ ~/c:__.. Number of Fixtures: I Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink L{ ~ ~ ---1- W.,ater Heater _ ~as 0 Elect 0 PwrVnt Shower ~ Floor Drain ( ~ Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs , DrinkFtn Catch Basin - .-L Wait.St. Wash Ftn L- Ice Chest Urinal -L- Exam Sink Gar Drain V Sculry Sink Soda Disp Hand Sink Coffee Maker f F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec -J- R.P .Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters I Wtr Usage Mtrs OR DElectric Installation Verification form attached (If Replacement) Use/Nature of Work ~S tK Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service n/05