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OSHKOSH
ON THE WATER
Job Address 1125 ARMORY PL
CITY OF OSHKOSH
No 127766
PLUMBING PERMIT - APPLICATION AND RECORD
Owner NORMAN L HALFEN
Create Date 11/12/2007
Contractor AHERN-GROSS INC.
Category '!}_~ Residen.ti~I~.I.~teri~_____._ Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink Coffee Maker .
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray 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
~FRTR.eplace standard bath/shower faucet withp"ressure balance fauceT~-"".-"._----"._--"--_."--
!
I
I
I
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1308690100
$400.00 Plan Approval
-".~
. $.O..oQ Permit Fees
u .... .. _~~5.00 D".F'~rl11~t Voided
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
Agent/Owner
Address ?~~~~.A.l~__"_____.._ ~~Q.~___~. ~~. - !9g~. Telephone Number 9~0~~?~"~~~1~"_."" ...
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.
'City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbin2 Permit Al!Plication
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,
Job Address 1125 Armory Place
Value (Including labor and materials)
$ 400.00
Date 10-30-2007
Owner
Norm Halfen
E]Single Family
DDuplex
Contractor
DMulti-Family
Ahern-Gross Plumbing
DRental
DCommercial
Dlndustrial
Number of Fixtures:
Bathtub Fax::et 1
Whirlpool
lavatory
Toilet
Res. Sink
Bar Sink
Water I-Icaler
o Gas rJ Electric U Power Vent
Shower
Floor Drain
Lndry Tray
lab Sink
Plaster Sink
S tcri Iizcr Ilrcaknn Sink
I.ndry Standp Dcnt. OpeL Shamp Sink
Disposal Dip Well FlrlWst Sink
Dishwasher Drink Fin Catch Basin
Sump Pump Wait. SI. Wash Ftn
Ejector/Grind lee Chc~t Urina I
Water Soflner Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr !land Sink Coff~ Maker
Bidet F Prep Sink Ice Maker
Beer Tap Serv Sink Site Orain
Classnn Sink Inl Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Ree
Electric Contractor
OR 0 EIV form attached (If Replacement)
Repl.a:e. starrlard tBth/sh:Mer fau:et with pre8SULe b3lan::e fax::et.
Use / Nature of Work
Sizc
Matcrial
----.m-;i~;~--R_eC et
$ 25.00
Sanitary Sewer
Storm Sewer
NOV 1 2 Z007
Water Service DEPARTfvlENT OF
---------------coMMttNf'fY-f)tVftePMEN-T-.-
I NSPECf ION SERVICES DIVISION
. 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
Check here if~_~~nt_!~j~rocessed through your account []