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OSHKOSH
ON THE WATER
Job Address 1930 SHERIDAN ST
CITY OF OSHKOSH No 127767
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KENNETH RIC Y BECK Create Date 11/12/2007
Category i10 - Residential:[rl.terior __________________ Plan
Contractor AHERN-GROSS INC_
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature [SFR IRe-Place sfa-ndarcnJaTIi7s-hower faucet Wiffipressure-balance-faucet.
of Work
Valuation
Issued By
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Type
#
Conn. Type
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
$400.00 Plan Approval __~__~.Q.gQ
_._-_.__._-_._----~
Permit Fees
Parcelld #
1216420000
Address 218 S MAIN ST
Agent/Owner
FOND DU LAC
WI 54935 - 4908 Telephone Number 920-921-1414
$25.00
, -_.._----_.~
Permit 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
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 J)jvisioll
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-51\50
Fax: (920) 236-5084
~
OfHKOfH
ON THF WATER
Plumbing Permit Awlication
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descrihcd. the work to confonn to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and arc bound hy said statutes.
Job Address 1930 Sheridan St.
Kenneth Beck
Valne (Including lahor amI materials) $ 400.00
Date 11-1-2007
ODuplex
Contractor
DMulti-Family
Ahern-Gross Plumbing
Owner
~Single Family
DRental
DCommercial
Dlndustrial
Number of Fixtures:
Bathtub Faucet 1
Whirlpool
Lavatory
Toile!
Res. Sink
Bar Sink
Water Heater
o Gas rJ Electric U Power Vent
Shower
Floor Drain
l.Jldry Tray
Lab Sink
Plaster Sink
I.ndry StandI'
Dispos:11
Dishwasher
Sump (lump
Ejector/Grind
Water Sof\ncr
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Ilreakrm Sink
Dent. Opel'.
Dip Well
Drink FIn
Wait. Sl.
lee Chc~t
Exam Sink
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftll
Urinal
Sterilizer
Gar Drain
Sculry Sink
!land Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ex! Grease Trap
Soda Disp
Coffee Maker
Ice Maker
Sile Drain
Roof Drain
StandI' Ree
Electric Contractor
OR
o EIV form attached (If Replacement)
Use I Nature of Work
Replace standard bath/shower faucet with pressure balance faucet.
Size
Material
_on -- .-.-----0
Type n
Sanitary Sewer
.
NOV 1 2 2007
DEPARTIViENT OF
_______________ COMMUl'iTIY DEVJ:LOPMENT _
INSPECTION SERVICES DWsroN
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
$ 25.00
Storm Sewer
Water Service
Check here if you tv..':.i!2.~__t1:j.E-E.rocessed throu..9"E.J:oU.t:2.ccoun!: 0