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Home My WebLink About2008-Plumbing (kitchen)OSHKOSH ON THE WATER Job Address 1516 REPP AVE CITY OF OSHKOSH No 128360 PLUMBING PERMIT -APPLICATION AND RECORD Owner RICHARD C BACKUS Create Date 12/10/2007 Category 410 -Residential-Interior Plan Contractor PETERS MECHANICAL INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work _ 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 1 Dishwasher 1 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 Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 01/04/2008 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 a plication within an easeme_ the City strongly urges the permit applicant to contact the easement holder.(s)'and t s ' any neces r~approv Is a ore starting such activity. SignatureF ''~ ~ ~ i - Date / - ~- C~ ~_.._ Agent/Owner Address PO BOX 505 OMRO WI 54963 - 0505 Telephone Number 622-5002 Bob Peters i o scneaule 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 O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 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 you are a contractor participating in the Permit Fee Account System and have ade uate funds check here if you want this processed through your 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 EN when such is required, will not be processed for Permit Issuance and will be returned for completion. ~ ~ Job Address ,,J'~///, ~- v~~,~r Value (Including labor and materials) ~~` Dater' 7` ~~~ Owner ~~c~.r~~i9c~ ~.s Contractor ~~ 7~~~ ~~~c~~~~~~ / _~..,,~ c. , ,Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial 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 f Water Softner Sculry Sink Soda Disp _ Bar Sink Local Waste Hand Sink Coffee Maker _ Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker Gas 0 Elect ~ PwrVnt Bidet Serv Sink _ Site Drain Shower Beer Tap Int Grease Trap _ Roof Drain Floor Drain Classrm Sink Ext Grease Trap _ Standp Rec _ Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn _ Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well F1dWst Sink _ Deduct Meters Sterilizer 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 a~/o~