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Home My WebLink About0130144-Plumbing (wtr htr & wshr)/~ CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1235 MOUNT VERNON ST Contractor Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Owner RYAN R PEISSIG/LAURA M RAENFN HOMEOWNER Category 410 -Residential-Interior Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Flr/Wst Sink Lndry Tray Clothes Wshr 1 Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp No 130144 Create Date 05/23/2008 Plan Coffee Maker Int GreaseTrap Ext Grease Trap RPZ Valve Eye Wash Statn 1 Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs e power vent water heater, repipe kitchen sink, DW and FWG washer to scope of work under permit #120767. Size Material Type # Conn. Type Storm Water and add laundry standpipe Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Parcel Id # 1506710000 Date 05/23/2008 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the perfo~c)e of this work, I agre perform all work pursuant to rules governing the described construction. Signature d Agent/Owner Address 1235 MOUNT VERNON ST OSHKOSH Date ~ ~ ~~ ~ " WI 54801 3859 Telephone Number ph 232-1627 or cell 4 To schedule 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. 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 Ciry strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. City of Oshkosh Inspxtion Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 ~r~~os ~' 3 ~ i ~~~ Plumbing Permit Application ~~i 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 fees) 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 I~you are a contractor participating in the Permit Fee Account Svstem and have adequate funds check here i,~you want this processed through vour account n ** Advisory -For applicable projects, an Electrical Installation VeniBcation (E1V) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be pe><formed by the homeowner) mast be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address ~~. ~ J ~ ~ Vc~~n ~ S / Value (Including labor and mnterisls) ~ ~ O° I)ate_ ~-~~ _ ~ ~ner (~~` pe i S s~ Contractor ~ [,J n-t' ~ Single Family ~Duplea ulti-Family QRental ~C•mmercial ^Industrinl 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 Water Softner Spry Sink Sada ~~ ~ Sink Local Waste Ham Sink Coffee Maker Water Heater ~ Clothes Wshr __~ F Prep Sink Comm Ice Maker ^ Gas ^ Elect II~"PwrVnt . Bidet Serv Sink Site Drain Shower B~ Tap Int Grease Trap Roof Dtain Floor Drain Classrm Sink Ext Grease TtaP Standp Rec Lndry Tray Sur eons Sink ~ R.P.Z. Vaive Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mhs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterdtzer Hose Bibs Misc. Wtr Usage Mtrs Fixtures Electric Contractor (for proj/acts not requiring an EIV Form) Use /Nature of Work _Q ~ [ ~u ~~,,, ~ Q. ~~/" ~~ ;~c r ~r~n, /S ~- F/~ r- ~ ~ c~ rc MC h ~ Sanitary Sewer r~~l ~~ ~ Storm Sewer Water Service ~'Pe f~ii ~~~~" G~, o~/o~