HomeMy WebLinkAbout2007-Plumbing
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OSHKOSH
ON THE WATER
Job Address 1102 ADAMS AVE
CITY OF OSHKOSH
No 127773
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KERRY DERR
Create Date 08/13/2007
Category 410 - Re~idential-I~~~9L________________ Plan
Contractor 0 R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
o
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain 0 Local Waste Ice Chest FlrlWst Sink Int Grease Trap
-
Lndry Tray 1 Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
silcocks
2
[Relocate-Clothes washer andinstallnew la u-ridr,;- slnkwilhAAV whichTS to be' tested.D1scon'riecfbuilding-sub-ciraTn -from 'sa rijlary-an-ci-frisfilr-l
inew sump pit in basement. Existing sump pump hose shall be removed from sidewalk area and dischargeto owner's property. Repair floor I
~rain to sanitary with subdrain removal. Replace T/S valve with new 8 psi valve, install code compliant silcocks and rebuild lavatory faucet ,
rtem,
_-.J
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1605580000
Valuation_-----.-!.4'-'!...~?~QQ Plan Approval __~,jQ,.9.Q Permit Fees __------.Jl~:2.Q D.!..e:r'!l~t~oide~J
Issued By
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
Date
Address
Agent/Owner
OSHKOSH
WI 54901 - 0000 Telephone Number
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.
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Phone: 191il) 2l6-50m~~' ,. .
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REC
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NOV 0 9 2007
PIutnIJInrI Permit AppJlcItIOn DEPARTMENT OF
. COMMUNITY DEVELOPMENT
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W~ SII.UI ftm~c.df. ia_~Gfwhidt4l11""JIrttiOBJIL'C .toad.A:__b:t ad st.m:1I:::T
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Osbkosh WI 5490J-1 UI. C..D<lIlll'liew work ...Uhaut F"fJP) ..iJ,.... iat hi be.ing ""'W ar$IOO.OO""1hc
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