HomeMy WebLinkAbout0128401-Plumbing (fixtures)CITY OF OSHKOSH No 128401
OSHKOSH
ON THE WATER
Job Address 250 W 8TH AVE
Contractor DRUCKS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
PLUMBING PERMIT -APPLICATION AND RECORD
_ Shower
Floor Drain
Lndry Tray
_ Disposal
1 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
Owner ROBERT/REINALDA GONZALEZ Create Date 12/10/2007
Category 410 -Residential-Interior Plan
Wait. St. Shamp Sink Coffee Maker _
Ice Chest FIr/Wst Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap __
Scu1ry Sink Wash Ftn RPZ Valve
Hand Sink Urinal Eye Wash Statn
Plaster Sink Standp Rec Wtr Sewer Mtrs
Surgeons Sink Ice Maker Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp
UUF'LEXI Pull and reset plumbing fixtures, replace 2nd floor kitchen sink, repipe DWV to kitchen sinks, provide atmospheric vent to laundry
tahdpipe. Inspect water distribution repiping that has been replaced without permit.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0900330000
Valuation $4,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
Issued By Date 01/09/2008
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
Address PO BOX 355
Agent/Owner
MENASHA
WI 5495 - 0000 Telephone Number 426-2654
1 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 reac)y 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
POBox1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~1HK01H.
ON THE WATER
Plumbing Permit ®4pplication
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnbed, the work to conform to the
Wisconsin State Plumbing Code, iri 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
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^Single Family [Duplex OMulti-Family Rental ^Commercial []Industrial
Number of Fixtures:
Bathtub . Disposal Drink Ftn Catch Basin
Whirtpool Dishwasher Wait. St
. Wash Ftn
Lavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink
Coffee Maker
Water Heater
~ Gas 0 Elect ~ PwrVnt Ctothes Wshr F Prep Sink Comm. Ice Maker
Shower Bldet
Serv Sink Site Drain
•
Floor Drain Beer Ta
P
Int Grease Trap Roof Drain
Lnd Tra -•
ry y Classrm Sink
Ext Grease Trap ~ Standp Rec
Lab Sink Surgeons Sink R.P.Z.- Valve
Eye Wash Stn
Plaster
Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs
.
Sterilizer Di Well
p
Fir/1FIst Sink Deduct Meters
Misc. Hose Bibs
Wtr Usage Mfrs
Fixtures
Electric Contractor OR .[]Electric Installation Verification form attach
d
e
~ (If Replacement)
Use /Nature of Work
Size
Sanita
Sewe Material Type #
ry
r
Storm Sewer JAN .o $ 200$
Water.Service DEPART M N'T OF
NT
ELOPME
INSPECTION SERV ICES DIVISION
11/05