HomeMy WebLinkAbout0130116-Plumbing (faucet)
OSHKOSH
ON THE WATER
Job Address 504 STANLEY 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
Date 05/22/2008
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 218 S MAIN ST
Agent/Owner
FOND DU LAC WI 54935 - 4908 Telephone Number 920-921-1414
~~~~a~~~a n~spaaavns please can the inspection Kequest 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
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RONALD L OLSON/LISA ZEMLOCK
Category 410 -Residential-Interior
0 Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/V1Ist 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 faucet
No 130116
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
$450.OQ. Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
City of Oshkosh
Inspection Services Division
P O Box1130
Oshkosh, WI 54903-1130 O ~~~
Phoae: (920) 236-SP50
FAX: (920) 236-5084 ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter dcscrihcd, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to an(t arc Mxnut by said statutes.
Job Address 504 Stanley Ave.
Owner Ronald Zemlock
$450.00
V 1111C (btcludintq labor and ntatcrials)
Contractor Ahern-Gross Plumbing
®Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Number of Fixttires:
Bathtub Faucet - 1
Whirlpool
Lavatory
Toilet
Res. Sink __
Bar Sink
Water l (cater
0 Gas U Electric I.I Power Vent
Shower
Floor Drain
l~tdry Tray
Lab Sink __.
Plaster Sink
Electric Contractor
Use /Nature of Work
Sanitary Scwcr
Storm Sewer
Water Service
$ 25.00
• .Application(s) and fee(s) can be brought to City I~iall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh ]
54903-1128. Commencing work without permit(s) will result in Pecs being doubled or $100.00 plus the normal permit fee,
which ever is greater. '
OR
Check here if ~u went thi__processed through your account ^
titcrilircr .._ ,.. _ IH~cakmt tiiuk .. _._.
LnJry StauJp ..-° Iknt. Oiler. ---- _ Shanty Sink _
Dislwsal _ _, _., __ I)ip Wcll ___~._ _. fldWst Sink
Dishwasher
.._._._.__ Drink Fm __,.-. _. Catch Basin
f
Sump Pump .. _..__ Wait. Si. _..-.___. ._ Wash Fut a
Gjector;Grind __.___ Ice Chest __~ _ Urinal
Water So(lncr ^_ Gxam Sink ____ _ Ciar Drain
1_ocal Waste __,__.__ Sculry Sink _ S~x1a Disp
Clothes Wshr _,__ . __ I land Sink ~ ______ _ Coffix Maker
Bidet __~.__ F Prep Sink _.- __ Ice Maker
[leer 1'ap ...,__.__, Scrv tiink _,!_ _ Sile Urain
Classnn tiink Inl Urcasc'1'rap _ ______ _ hoof Drain
Surgeons Sink ..._._..._.._ 14xt Grersc'1'rap _~__ _.. Standp Rcc i
OK C] EIV form attached (If Replacement)
Replace star>~ b~th,/shower faLCet with ~SStae balance faucet.
Size Material .-._~.._..~I~y)n------ IJ ----- Conn.'I'ypc ---_..
Date 5-12-2008