HomeMy WebLinkAbout0128203-Plumbing (bathroom remodel)
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OSHKOSH
ON THE WATER
Job Address 555 GROVE ST
CITY OF OSHKOSH No 128203
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RICHARD/SHERRY PURTELL Create Date 12/19/2007
Plan
Contractor HANSON QUALITY 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
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Category 410 - Residential-Interior
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
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
BATHROOM REMODEL AND REPIPING DWV TO 2ND FLOOR.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1102820000
Valuation
Issued By
$2,470.00 Plan Approval
$0.00 Permit Fees
$28.00 0 Permit Voided I
Date 12/19/2007
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 550 N BLUE MOUND RD
AgenUOwner
APPLETON
Date
WI 54914 - 5748 Telephone Number 730-0205
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, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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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 allparties 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 particivating in the Permit Fee Account Svstem and have adequate funds, check here
ifvou want this processed through vour account n
Job Address~S- r;;f,;:t{/~ S:i-et" -;L Value (Including labor and materials) :2 V'7 0 .'3..9- Date/ Z -I::? -07
Owner f)/-ck f}~r-l-e /1 Contractor /~/lC~"/Y/r QUt?~~v yJ?/~~
IRISingIe Family DDuplex DMulti-Family DRental DCommercial Dlndustrial
Number of Fixtures:
"..,
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower -X-
:Flcor Dr-ail1
Lndry Tray :X
Lab Sink
~
-i=:-
Disposal DrinkFtn Catch Basin
Dishwasher Wait.St Wash Ftn
Sump Pump Ice Chest Urinal
Ejector/Grind Exam Sink Gar Drain
Water Softner Sculry Sink Soda Disp
Local Waste Hand Sink Coffee Maker
Clothes Wshr F Prep Sink Comm. Ice Maker
Bidet Serv Sink Site Drain
Beer Tap Int Grease Trap Roof Drain
Classrm Sink Ext Grease Trap Standp Rec
Surgeons Sink RP.Z. Valve Eye Wash Stn
Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Dip Well FlrlWst Sink Deduct Meters
Hose Bibs Wtr Usage Mtrs
Plaster Sink
Sterilizer
Misc.
Fixtures
OR DElectric Installation Verification form attached
Use I Nature of Work 62/l P/%or g.J7't IZm:;:Z;1:t~; {jp;~ ;zv
Te"~e'/lr TO ...-r;{~
Type # Conn. Type eccfflct1 Y/Cdl ~X~
Electric Contractor
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
n/05