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Home My WebLink About0127892-Plumbing e OSHKOSH ON THE WATER Job Address 70 JACOB AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner PATRICK W CULVER Contractor CJ PLUMBING Category 410 - Resictential-Interior ._ No 127892 Create Date 11/07/2007 Plan 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 UselNature ~FRtINSTALL BAR SIN(BA THROOM SINiCAFfl5-TOILET -~~~------- -----------------~ ------------------ of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/G rind Water Softner Wait. St. Shamp Sink Local Waste Ice Chest FlrlWst Sink Clothes Wshr Exam Sink Catch Basin Bidet Sculry Sink Wash Ftn Beer Tap Hand Sink Urinal Lab Sink Plaster Sink Standp Rec Sterilizer Surgeons Sink Ice Maker Dip Well F Prep Sink Gar Drain Drink Ftn Serv Sink Soda Disp Sanitary Sewer ___~_____._____._____,_._______.i Storm Sewer Water Service Size Conn. Type Parcel Id # 1416581000 Material Type # Date 11/19/2007 $0.00 Permit Fees $25.00 D ~':~rll_it..\.l.o_i~.E:l_~lj 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 hOlde;1p. and to sure any necessary approvals before starting such activity. Signature ' :VAQ Date Agent/Owner Valuation $1,900.00 Plan Approval Issued By 81n ~-- Address 3548 GOLF WOOD DR NEENAH WI 54956 - 9569 Telephone Number 751-8992 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, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER Plumbing Permit Application 1 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 VVI 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 varticipating in the Permit Fee Account Svstem and have adequate funds. check here if vou want this vrocessed through 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 ',0 .J1c..A'J Ave.. Owner '~ ~ingle Family DDuplex Number of Fixtures: Contractor DMulti-Family Date \))(1/61 I I Dlndustrial Bathtub Disposal Whirlpool Dishwasher Lavatory f= Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink X- Local Waste Water Heater Clothes Wshr C Gas 0 Elect CJ PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs' Misc. Fixtures Drink Ftn Wait.St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap R.P.z. Valve Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Electric Contractor (for projects ~~~ing an EIV Form) fji ? ., I . k b . k' I. f- Use I Nature of Work ~l I [,~ SI t'\ I ar S If) ,-tnl Ie Size Material Type # Conn. Type Sanitary Sewer Storm Sewer VV ater Service 07/07