HomeMy WebLinkAbout0130117-Plumbing (faucet)
OSHKOSH
ON THE WATER
Job Address 447 W 5TH AVE
Contractor AHERN-GROSS INC.
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DALE C DRAKE
Category 410 -Residential-Interior
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/V11st Sink
_ Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ 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
1 facet
No 130117
Create Date 05/22/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 05/22/2008
In the pertormance 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 218 S MAIN ST
AgenUOwner
FOND DU LAC WI 54935 - 4908 Telephone Number 920-921-1414
~~ ~~~~au~~~ ~~~aNes~uvns pease cau ine inspection Kequest Tine 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 pertormed within two business days from the time the project is ready.
$4_50.00 Plan Approval $0.00 Pennit Fees $25.00 ^ Permit Voided
City of Oshkosh
Inspection Services I)ivisiott
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-Stt50
Fax: (920)236-5084
$450.00
ValllC (Includint; labor and nutcrials)
Contractor ~t~°ss PlunhiT~
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descrihccl, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and arc. bound by said statutes.
Job Address ~~ W' Sit ~'
Owner 1~ lxake
®Singlc Family
Number of Fixhlres:
Bathtub Falcet 1
n
Date X27-~
^Duplex ^Multi-Family ^Itental ^Commercial ^Industrial
Whirlpool
lavatory
Toilet
Res. Sink
Bar Sink
Water heater
0 Gas O Electric U Power Vent
Shower
Floor Drain
Indry Tray __
lab Sink
Plaster Sink
Electric Contractor _
Use / Nature of Work_
Size
Sanitary Scwcr
Storm Sewer
Water Service
Sterilizer 14rcakmt Sink
Lndry Standp ____ Dcnt. Opcr. ____ _ Shamp Sink
Disposal _. __ __ Dip Wcll ---__... __ I~IdWst Sink
Dishwasher Drink Fm ______ _ Catch Basin
Sump Pump _ _ Wail. St. _..____ ._ Wash fln
Ejector/Grind __ _.. Ice Chest ___ _ Urinal
Water Soflncr ___. _ Exam Sink ____ _ Gar Drain
Local Waste __.__ __ Sculry Sink _ Sala Disp
Clothes Wshr I land Sink ~ ______ _ Coffee Maker
Bidet ___ __ I' 1'rcp Sink ~___ __ Ice Maker
Itccr Tap ___ __.. Scrv Sink ___._ _ Site Drain
Classnn Sink _ ___ _.. Inl Groase 'Trap _ __ ___ _ .. Ka~f Uraio
Surgeons Sink _.___.. _.,__ lixt Grcase'rrap _____ __ Standp Rec
OIt ^ EIV form attached (If Replacement)
R~lace s bath/sl--~er falacet with ~esa.ae ba7,~r_e faucet.
Material -- _._..,I,~„------ ~r ------- Conn.'l'yp~------
$ 25.00
• Application(s) and fee(s) can be brought to City Ilan, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh W~
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
Check here if~_u_want thi__processed through Your account ^