HomeMy WebLinkAbout0130383-Plumbing (kitchen remodel)r~
OSHKOSH
ON THE WATER
Job Address 726 W 10TH AVE
Contractor PREMIER PLUMBING
Bathtub Shower
Whirlpool Floor Drain
Lavatory 1 Lndry Tray
Toilet Disposal
Res. Sink 1 Dishwasher
Bar Sink Sump Pump
Water Heater Classrm Sink
Site Drain Breakrm Sink
Roof Drain Ejector/Grind
Misc.
Fixtures
Use/Nature ~SFR/ LATE PERMIT/ Kitc
of Work
cl
PLUMBING PERM
Owrn
Cate
Water Softner
Local Waste
Clothes Wshr _
1 Bidet
1 Beer Tap',.
Lab Sink
Sterilizer'
Dip Well
Drink Ftn
new cabinets.
Sanitary Sewer
Storm Sewer
Water Service
Size.
OF OSHKOSH
-APPLICATION AND RECORD
USABLE SPACE LLC
410 -Residential-Interior
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Type
# Conn.
Parcel Id #
1305730000
Valuation $250.00 Plan Approval ' $0.00
Issued By
Fees
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Vaive
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 06/06!2008
$28.00 ^ Permit Voided
In the pertormance of this work, I agree to perform all work pursuant tp rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement rest fictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City stron~ly urges the permit applicant to contact the
easement holder(s~and to sec}ire~y nary approvals before st rting such activity.
Signature _<<~~~?~- ~~f SZ___..._ Date
" Agent/Owner
Address 1050 S GRIDER ST APPLETON
To schedule inspections please call the Inspection Requ
Inspection (i.e. Footing, Service, Final, etc.), Access into
Number. Unless specified otherwise, we will assume thi
continue if the inspection is not pertormed within two bt
WI 54914 - 0000 Telephone Number 920-749-4029
Est line at 236-5128 noting the Address, Permit Number, Type of
3uilding if Secure (how do we gain entry), your Name and Phone
project is ready at the time the request is received. Work may
liness days from the time the project is ready.
No 130383
Create Date 06/02/2008
Plan
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax: (920) 236-5084
Plumbing I
I hereby apply for a permit to do and install the following p.
Wisconsin State Plumbing Code, in the performance
• Application(s) and fee(s) can be brought to City Hall, R
54903-1128. Commencing work without permit(s) will
ever is greater.
OR
** Advisory -For applicable projects, an Electrical
Contractor or Homeowner (for installations allow
with the permit application. Applications submitt
processed for Permit Issuance and will be returned
Job Address -7 Z(c ~/ , /c~~ /~ (i~` Valut
O ner /}c~v ~; LLG~~~~^,~},t/' Cont
Single Family ^Duplex ^Multi-Fam
'ermit Application
bing on the premises hereinafter described, the work to conform to the
which all parties hereto agree to and are bound by said statutes.
205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
It in fees being doubled or $100.00 plus the normal permit fee, which
Installation Verification (ElV) form, signed by the Electrical
:d to be performed by the homeowner) must be submitted
:d without an EN when such is required, will not be
for completion.
0 6
(Including labor and materials) ~ L~`~/~ Date (c' ` ~ " <-~~
'~ --~
ily ^Rental ^Commercial ^Industrial
O~K~
ON THE WATER
Number of Fixtures:
Bathtub
Whirlpool
Lavatory _
Toilet
Res. Sink
Bar Sink
Water Heater
^ Gas ^ Elec t ^ PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
I -~_
'~
Electric Contractor (for projects not requiring an
Use /Nature of Work ~L-,-t~~ ~~
Size Mater
Sanitary Sewer
Storm Sewer
Water Service
Drink Ftn
Wait. St.
Ice CFiest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
R.P.Z. Valve
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Form)
Type # Conn. Type
o~/o~