HomeMy WebLinkAbout0127842-Plumbing
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OqHKOSH
ON THE WATER
Job Address 613 FREDERICK ST
CITY OF OSHKOSH
No
127842
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner NU VIEW PROPERTIES LLC Create Date 11/15/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor GLOBAL PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Convert duplex to single family. Remove 2nd floor kitchen, remodel 2nd floor bathroom with new tub/shower, install 2nd floor laundry, replace
of Work 1 st floor shower and replace 1 st floor kitchen fixtures.
Valuation
Issued By
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0703590000
$1,800.00
$0.00
$56.00 D Permit Voided I
Plan Approval
Permit Fees
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 thi mit ap Iication within an easement, the City strongly urges the permit applicant to contact the
easement hold r( a e ecessary approvals before starting such activity.
Signature
Agent/Owner
FOND DU LAC
WI 54936 - 2271 Telephone Number 920-322-8787
Date /(..-/ r:--o7
Address POBOX 2271
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
Insp(}ction Services Division
POBox 1130
<(.shkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
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
If vou are a contractor varticivating in the Permit Fee Account Svstem and have adequate funds, check here
ifvou want this vrocessed throu'Zh vour 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 \...R\ ~ fY;Jg(cd.L
Ownerf;.\h l,,;; III L\9'\.<:'
~gle Family DDuplex
j
?
Number of Fixtures:
"J
r;./
Bathtub ~
Whirlpool ~
Lavatory
Toilet ~
. Res. Sink -L
Bar Sink
,J.
J fIliI
Water Heater
o Gas 0 Elect LJ PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
-L
c:Ji'bc-1
DRental
1,5'CO
..p{ lI( vv-.bi v'<'{ l-iL
DCommercial
Dlndustrial
Value (Including labor and materials)
Date 11-1<::"'(.'1
Drink Ftn Catch Basin
Wait.S!. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap ../ Roof Drain
Ext Grease Trap ?- Standp Rec I
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work /r~.~ ",.j 2 j;nr.. lu ''!~ Sill fft
! ! . I .
Size Material Type
Contractor
DMulti-Family
Disposal ~ {i
Dishwasher 1 *'
Sump Pump
Ejector/Grind
Water Softner
-L
Sanitary Sewer
Storm Sewer
Water Service
Local Waste
",J Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrrn Sink
Dip Well
Hose Bibs
-L
-i{; /#' I {I--
I
p11 0 Vjl.... !?/ tf rtln/
, I
Conn. Type
#
07/07