HomeMy WebLinkAbout0130130-Plumbing (tub & 2 lavs)OSHKOSH
ON THE WATER
JOb Address 912 WINDWARD CT
Contractor HOMEOWNER
Owner CHRISTnPHFR f1/KRISTI 4 MI IFI I FR
Category 410 -Residential-Interior
No 130130
Create Date 05/23/2008
Plan
Bathtub 1 Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest Flr/VUst Sink Int GreaseTrap
Lavatory 2 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash State
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc. ~-
Fixtures
~_ _
Use/Nature Replace tub/shower and
of Work
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
lava>:ones.
Size Material Type # Conn. Type
Stone Water
Valuation $1,500.00 Plan Approval
Issued By
Parcel Id #
1522430000
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 performance o>;th~rk, I agreed perform all work pursuant to rules governing the described construction
Signature
Address 912 WINDWARD CT
$0.00 Permit Fees $25.00 ^ Permit Voided
Agent/Owner
OSHKOSH
Date ~' o~~-~j
WI 54801 2061 Telephone Number
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 City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
OfHKO H
ON THE WATER
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 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
II you are a contractor participating in the Permit Fee Account System and have adequate funds check here
if you want this processed through your account n
** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must 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'/ g%a (.t1 i AdUJUj ~ C~ Value (Including labor and materials) Date ~ r 3 --~
Owner krl~~i 1'~(u.e~~~et-' Contractor
~ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Number of Fixtures:
Bathtub _~ 1 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 Sculry Sink Soda Disp _
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker _
^ Gas ^ Elect 0 Bidet Serv Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain _
Floor Drain Classrm Sink Ext Grease Trap Standp Rec _
Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn _
Lab Sink Breakrtn Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well Flr/Wst Sink Deduct Meters _
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (fo
r
projects not requiring an EIV Form)
``
~~
Use /Nature of Work PCk V4t.0 ~i rt G~ ~~ ~ ~X~~'11h - c~-P ~ I(A ~a ~~
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
o~/o~