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Home My WebLink About0127838-Plumbing (repair) ., '. OSHKOSH ON THE WATER Job Address 47 MILL ST PLUMBING PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH No 127838 Owner MATHEW C/JILL M TOWERY Create Date 11/15/2007 Plan Category 410 - Residential-Interior Contractor WELLNITZ PLUMBING Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Repair existing violations noted by AP on correction notice. Install ACW standpipe with AAV, install shock arrestors on ACW water supply of Work bnd install relief valve drop on existing water heater. Valuation Issued By Size # Conn. Type Parcelld # 0800990000 Date 11/15/2007 Material Type 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) a 0 cure y necessary approvals before starting such activity. Signature e;;:', . f '2-- ?/V~"', '.,v Date 11-/ ~-..O:> ;:;~". Agent/Owner Address 4810 AMBERWOOD L~: APPLETON WI 54913 -7924 Telephone Number (0)231-7390 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. Sanitary Sewer Storm Sewer Water Service $250.00 $0.00 $25.00 D Permit Voided I Plan Approval Permit Fees CitybfOshkosh Inspection Services Division POBox 1130 Oshkosh, 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 agreeto 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 I . Fee Account S stem and have ade uate unds check here ** Advisory - For applicable projects, an Electri al 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. 1./'7 Pl // :5 f- Job Address Owner tIk# ~".Je~ DSingle Family ~Duplex Contractor DMulti-Family Value (Including labor and materials) :;2 5' 0 . 0 C;;:> we~/'fz- DRental Date //-/..:r: o/, ?/V'.M~ .-'".v!j' DCommercial Dindustrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. 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 o Gas 0 Elect u PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Standp Rt<c --L 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 I izer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service )l)OtC - q dd rc? f-e.(' d/of' Ao lIJq-ler Aeq+er- 07/07