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HomeMy WebLinkAbout0127765-Plumbing (faucet) o OSHKOSH ON THE WATER Job Address 347 W 17TH AVE Owner CHRISTINE J/DEBRA J PAULSEN CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Contractor AHERN-GROSS INC. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category ~~O.___R~~ i~~.n_tial~l.nte!l~~..m_____.._ Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump 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 [SFR / Replace standard bath/shower faucet with pressure balance faucet. I I No 127765 Create Date 11/12/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Conn. Type Material Type # Sanitary Sewer Storm Sewer Water Service $O.OQ Permit Fees ____ $25:00 D Permit Voide~J Parcelld # 1404400000 Issued By Valuation $400.00 Plan Approval (J~ Date 11/12/2007 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 Address 218 S MAIN ST Agent/Owner __ E2!':1P.[)~!-:6~ .. '/VL5~93?_ - 490~_. Telephone Number Date 920-921-1414 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 Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbin2 Permit Awlication ~ OfHKOfH ON THE WATER I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descrihcd, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agrce to and arc bound hy said statutes. J b Add 347 West 17th Ave. V I $ 400 00 o ress a ue (Including lahllrand matelials) . Debra Paulsen Contractor Ahern-Gross Plumbing Owner QgSingle Family Date 10-25-2007 Dlndustrial DMulti-Family DRental DCommercial Dnuplex Number of Fixtures: Bathtub Faucet 1 Whirlpool lavatory Toilet Res. Sink Bar Sink Water llcaler o Gas rJ Electric 1.I Power Vent Shower Floor Drain lndry Tray lab Sink Plaster Sink Sterilizer Breahlll Sink Dent. Opa Dip Well Drink FIn Wait. St. Ice Che~t Exam Sink Scufry Sink Ilan<l Sink Lndry Stalldp Displlsa I Dishwasher Sump Pump Ejector/Grind Waler Sonner Local Wasle Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink F Prep Sink Serv Sink lnt Grease Trap Ext Grease Trap Sllamp Sink FlrlWst Sink Cateh llasin Wash Ftll Urinal Gar Drain Soda Disp ColTec Maker Ice Maker Site Drain Roof Drain Standp Ree Electric Contractor OR o EIV form attached (If Replacement) Replace standard bath/shower faucet with pressure balance faucet. Use I Nature of Work RECE1VED NOV 1 2 2007 Size Material Type Sanitary Sewer Storm Sewer $ 25.00 Water Service DEPARTMENT OF ----..-----..---- COMMUNITY DEVELOPFIENr-- T.N...SPECfION SERVICES DIVISION . Application(s) and fee(s) can be brought to City Hall, Room-2U5 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 nonnal pennit fee, which ever is greater. OR Check here i f~!:l_ w...~i.!2...~_.tJ:j.E-P.roce~~ed throu2E.Y..9_L!.!-~~coun_E 0