HomeMy WebLinkAbout2008-Plumbing (lav; toilet)OSHKOSH
ON THE WATER
Job Address 1103 SCHOOL AVE
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner KART A USELMAN
No 128337
Create Date 01/04/2008
Contractor D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Category 410 -Residential-Interior Plan
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIr/Wst Sink
1 LndryTray Clothes Wshr Exam Sink Catch Basin
1 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
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 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 Date
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number 920-589-4014
To schedule inspections please call the Inspection Request line at 236-'5128 noting the Address_ Permit N~~mhpr Tvnra 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.
$650.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
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