HomeMy WebLinkAbout0127712-Plumbing
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OSHKOSH
ON THE WATER
Job Address 801 W 7TH AVE
CITY OF OSHKOSH
No
127712
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
Owner BERNARDIJOAN HUNT Create Date 11/07/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrfWst 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 KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Valuation
Issued By
Covert duplex into single family dwelling. Eliminate 1 kitchen sink and install a new dishwasher.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0605540000
$500.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 11/0712007
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
AgentfOwner
Address 2005 DOTY ST
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
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.
Iv 05 07 09:29a
.
City pf Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, W154903-1130
Phone: (920) 236-5050
Fax: (920) 236-50&4
Clarence Koch
(920)235-0282
f'. 1
RECE'",VED @l,~
NOV 05 2007 ~
DEPARTMENT OF OfHKOfH
COMMUNITY DEVELOPMENT ON THE WATER
INSPECTION SERVICES DIVISION
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the worle to conform to the
Wisconsin State Plwnbing Code, in the perfonnance 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
I in the Permit Fee Account S stem and have ade uate unds check here
our account
p , ,1
Job AddressSOI W 7 rU" //0. Value (Including labor and materials) St::?O --
Owner Be/lA/A-,4~ /!t,I,/l,,-/r' Contractor foe/./. h/.:f~,
DSingle Family ODuplex OMulti-FamiIy DRental DCommercial
Date //-S--07
DIndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Foctures
Disposal
Dishwasher
Sump Pump
EjectorfGrind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
Surgeons Sink
Breakm1 Sink
Dip Well
Hose Bibs
-L
Drir1k Fin
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
StrV Sink
Int Grease Trap
Ext Grease Trap
R.p.z. Valve
Shamp Sink
FlrfWst Sink
Catch Basin
Wash Pm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
StandpRcc
Eye Wash StIl
Wtr Sewer Mm
Deduct Meters
Wtr Usage Mtrs
Electric Contractor
~/.in;{.v#-P-/.:!-" / /c..(/tt.;/:!';.~/. I. '.frA'/c;, csllP/U"/I~
QE , []Electric Installation Verification form attached
(If Replacement)
Use I Nature of Work ;:>W/11IS/A/6 11- trc?~..,4??~~: 4t1Pt/i;:" l-.S' .fj",...'if-;:''V';'' ,:14.V#.t!!.47t1"';',,'"
';''''''~ It S'/,"V~.:'."''i.:,c;..':"A~t//'.v to W.:--c..'f';,~';-f;:''':-~ ' ' -
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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11/05