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Home My WebLink About0127707-Plumbing (Kitchen/bath) o CITY OF OSHKOSH No 127707 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 414 414A MONROE ST Owner STEVEN D FISCHER Create Date 11/05/2007 ---~---_._--~---~-_._~--"_._--~._------ Contractor D & S MECHANICAUAZMS LLC ~_~__ Category ~.lO_~..R~~i~e_n-.!i:a.I:~!~~~r_~ Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet 1 Disposal Bidet Sculry Sink Wash Ftn Res. Sink 1 Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Use/Nature \Repairs per correction notice/Install new drain and faucet supply to 2nd floor tub,-installnew~water clo-set,inslaICA.A:VonkifchensTnkdra]ii-' of Work iand install backflow protection on HB's in basement. ! L Material Type # Conn. Type I --~---~ Size Sanitary Sewer Storm Sewer Water Service Valuation Plan Approval $0.00 $25.00 0 Permit Voided! ~___'___ _________________......J Parcelld # 0404300000 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 per~it . Iication within an eas~ the City strongly urges the permit applicant to contact the easement hOlder(s)a1 ,~secure - eces P. ovals before starting such activity. I }f' I Signature /L ,/' / ->-~ , II /.{ Permit Fees Issued By Address OMRO WI 54963 - 0000 Telephone Number 920-685-5263 Agent/Owner Date 11/07/2007 Date i~ To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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 InspectiQtJ. Services Division POBox 113 0 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER Plumbing Permit Application 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 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 Ifvou are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this orocessed through your account n ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. _ . J J Job Address 4 (I.{ ~N ~ fZ- Valoe (In",'I" "b"~' m"~n":) ~ 3m . Daie~ Owner Sk\l~ ls,,-1-\B~ Contractor D4::s (V\f!:c..l-\Af'J leAL. [JSingle Family ~. DDuplex DMUlti-F~~ DRental DCommercial Dlndustrial OWf'.-tr,,,,..3 l{ ~ e;"/ Number of Fixtures~t> ~ r- 1-'" l.,..u Bathtub ~ I"" Disposal Whirlpool Dishwasher Drink Ftn Catch Basin Wait. St. Wash Ftn Water Heater o Gas [] Elect u PwrVnt ShO~ Floor Drain Lndry Tray Lab Sink Plaster Sink S teril izer Misc. Fixtures Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs lee Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand. Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs F1r/Wst Sink Deduct Meters Wtr Usage Mtrs Lavatory Toilet Res. Sink Bar Sink _ Sump Pump ~,,).A II Ejector/Grind ~ .c..~/'Water Softner Local Waste Electric Contractor (for projects not requiring an EIV Form) Use/Nature of Work lll) CA N j}~ fA ?(J~'1 Size Material Type P'JI~:':tiJ ( # 4 P ~ 7~ gcco-- d~ ler 'I' J,II. ?ld v1t1 j"1f, ;j ~ 1/ /;.# r5t:td( Sot.(/' vJ .1v- 'h7(/o7/07 Sanitary Sewer Storm Sewer Water Service