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Home My WebLink About0127928-Plumbing o CITY OF OSHKOSH No 127928 - OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3895 SHOREBIRD CT Owner MICHAEL UJOAN A WOLDT Create Date 11/09/2007 Contractor VALLEY PREMIER PLUMBING INC Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Category 410 - Residential-Interior Plan Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature SFRI Remodeling the basement to create a family room, excersize room, hallway and bathroom. of Work Valuation Issued By Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Sanitary Sewer i Storm Sewer Water Service Size Material Type # Conn. Type $1,400.00 Plan Approval Parcelld # 1281340000 $0.00 Permit Fees $25.00 D Permit Voided I Date 11/26/2007 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, jf you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement hold ) and to s u any nece ary approvals before starting such activity. Signature Agent/Owner APPLETON Address 903 S SCHAEFER ST Date /I-z~ -d7 WI 54915 - 3674 Telephone Number (920) 205-5052 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. City of Oshkosh Inspection Services Division P Q Box 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 Ifvou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here if vou want this processed 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 J 09) 5Ae.r<.t;,/ " Value (Including labor and materials) I j.J!",,_ (/(j Owner ~ingle Family DDuplex Contractor DMulti- Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater C Gas 0 Elect u PwrVnt Shower ~ X --L -f- Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs 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 not requiring an EIV Form) Use/Nature of Work 14/~Mffl t- llArfI (ADD /T/6r1) Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 07/07