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Home My WebLink About0127822-Plumbing e OSHKOSH ON THE WATER Job Address 865 HERITAGE TRL CITY OF OSHKOSH No 127822 PLUMBING PERMIT - APPLICATION AND RECORD Owner ETHEL M RASMUSSEN Create Date 11/14/2007 -,-"._---_._-_.__._---_._..._~-------~~ Contractor THOMAS PLUMBING Category ~_10 - R~si~~t!~~~terior__~___________ Plan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Shower Water Softner Wait. St. Shamp Sink Coffee Maker Floor Drain Local Waste Ice Chest FlrfWst 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 Use/Nature !SFR I INSTALL NEW TUB AND VANITY of Work _______.~.,._~~____,.___.__'____________.__._________..__.__.__ ._...__.._____...__._____.. ____,______,____"'_'__'___ __._____..._________....._.._..___._.....___n___.__.____n________.._'____. i I _._-----_.~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0613960000 to.gg $25.00 0 Permit Voided! ____ __. .__ ._.________..._ ___.___" ~_______._........___...J Permit Fees V",,"on 1:5fTI Pl,n ApP'"'' Issued By -- -- -)or 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 th' per, it application within easement, the City strongly urges the permit applicant to contact the easement ho ) nd to secure any n e ary approv Is before starting such activity. i Signature Date 11/14/2007 II - / if ~cJ7 Date Address 849 VINE ST WI 54901 - 0000 Telephone Number 232-0094 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 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 J f; au are a con tractor artic i atin in the Permit Fee Accoun t S i au want this Drocessed throuf!h 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. Job Address ~{P5 H~r' i k~ Owner ? ft~ i ~osSV\ Contractor .bZlSingle Family ODuplex OMulti-Family Value (Including labor and materials) t..} t1{)-o Date i \ ~ l'f - Dr <tl'L6\l~S ~(uvv.1 ~~ ORe'ntal OCommercial OIndustrial Number of Fixtures: Bathtub 1- Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait.S!. Wash Ftn Lavatory ~ Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink Water Softner - Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker [] Gas [] Elect D PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters S teri 1 izer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work 4~ \~ I\Q.W '\Ub o..V\.d \JA.il~. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 07/07