HomeMy WebLinkAbout0127841-Plumbing (toilet)
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OSHKOSH
ON THE WATER
Job Address 816 ELMWOOD AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 127841
Contractor D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JON RITTENHOUSE
H_______ Category 410- Re.~ldential-lr1terior
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
rSFR / Replace 2nd floor toilet.
I
I
I
!
L__.~__.___.___.__.____~___...._.
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date 11/15/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
Parcelld #
0505050000
Issued By
_____.._~?g.oo Plan Approval .____.__ $j).QQ
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Valuation
Permit Fees
$25.00
Permit Voided
Date 11/15/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 1865 JAMES RD
Agent/Owner
OSHKOSH
Date
WI 54904 - 6873 Telephone Number 920-589-4014
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
('II.\' or OshkOs.h
TnspcchGft. Sllrvi<;es Dt\!;Slott
POBo~ 1130
~sh. w( ').ttJlH-IBO
PltQrH; {Y20} 236-5050
fax: f92(1) 136-5<184
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Plumbing Permit Application
I ~ apply for a .,emut 10 do :wd instaU aDe following p!umbmg on Ihe prO'm~ hcrein;d1cr dcscribai the "'Drk to confWl1 to ,he
W!St.'OU$W Slate Plumbing C4de. in the perlbnnance of which.u.l panies ~lO agree ~o and ale bound b~. said statutes
. AppJication(s) and ke(s) can ~ brought to City Han. Room .w5 or maiJedto Impedion Services. PO Boll 1128.
Oshk{)sh wr 54903-1128. Commcttcing \\1)$ "".itboJ.Jt pcrmi1{s) wtu result in fees being doubJed Of $ HlO,OO pfus rhc
nomtal p~nuit rec. whreb ever is gn::accr.
OR
fl.f.9lLare a cortlN1Clo, part/tjp/IUng in Ihe !:M!!!.!.l..Fee ..rt~llPJI.lI1 ..5x!!L~!!!...i!mf hovtJ (Jdefluole l11fUf.~..._duk ",re
If. VOl{ "'QfJJ this pror:e.'lsed lhr!'.1!J:.b..x9I1T (uc:VJ11JW
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OlndlUCriaJ
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JJishwash;;r
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OElutric IdftaJ'ation V*rifiuUelJ form attatbed
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Use I Nature ofWerk 1Z.l2PLAc.€. 2~4r.:_..tJ~c...
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