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