HomeMy WebLinkAbout0130429-Plumbing (toilet)OSHKOSH
ON THE WATER
Job Address 2797 CLOVER ST
Contractor COMPLETE PLUMBING INC Category 410 -Residential-Interior
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JANE A FINK
No 130429
Create:f)ate 06/06/2008
Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste ~ Ice Chest Flr/V1Ist Sink Int Grease Trap _
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet 1 Disposal Bidet ~ Sculry Sink Wash Ftn RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
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
se Nature FR /Replace toilet.
_. __-_
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1230480100
Valuation $88.00 Plan Approval $0.00 permit Fees $25.00 ^ Permit Voided
-mac -
Issued By
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 appliption within an easement, the City strongly urges the permit appiignt to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Date 06/06/2008
Agent/Owner
Address 1197 RACINE ST MENASHA WI 54952. - 1735 Telephone Number 920-720-5390
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 wilt 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 cf Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, W154903-I 130
Phone: (920) 236-5054
Fax: (920)236-5084
Plumbing
~~~~ I !
QN 71°iF WATER
ermit Application
I hereby apply for a permit to do and instal! the fallowing 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 Irspection Services, PO Bax t 128, Gshkosh ~'J1
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.OD plus the normal permit fee, wi~i:;h
ever is greater.
OR
** Advisory -For applicable projects, an Electrical Installation Verification (EIV} form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed bar the homeowner) must be submitted
with the permit application. Applications submitted without an ETV when such is required, wi}1 not be
processed for Permit Issuance ancd`will be returned for completion. a
Job Address'-1,C1`~ ~'bVe.VrVT" - Vali a (Including la(nbottr and materials] ~ OI e~ D~t~
Owner 5~N1_~' . Contractor W ~ ..~.
~ingle Family ^Duplex ^ivlulti-FaimilyRental []Commercial Industrial
Number of Fixtures:
Bathtub Disposal
Whirlpool Dishwasher _
Lavatory Sump Pump _
Toilet ~_ EjectorlGrind
Res. Sink Water Softner _
Bar Sink Local Waste _
Water Heater Clothes Vdshr _
^ Gas (7 Effect G PwrVnt Bidet
Shower _ Beer Tap ^~
Floor Drain Classrm Sink _
Lndry Tray Surgeons Sink ~_
Lab Sink Breakrm Sink _
Plaster Sink Dip Well
Sterilizer Hose Bibs
T
Misc.
Fixtures
Electric Contractor (for projects not requiring
Drink Ftn _ Catch Basin ~~
Wait. 5t. _r.,. _ 'vVaslt Ftn _~.._
]ce Chest _ Urinal .__.
Exam Sink ~~ Gar Drain
Sculry Sin!c Soda Disp _-~_
Hand Sink Coffee Maker __~_
F Prep Sink _ Com~n, ice Maker __,_
Serv Sink ~. _ Site Drain __
Int Grease Trap __ , 1ZooY Lrain „~~
Ext Grease Trap Stundp Rec
R.P.Z. Valve __ Gye Wash Sin _~_..
Shamp Sink ,_ W tr Sewer Mtrs _._
FlrtVdst Sink. i.~duct A~teters
Vv'G Usngc Mus _._.__
EIV Form)
Use /Nature of Work
Size )Material Type.. , # Conn. Type
Salutary $eW°C _
Storm Sewer
Water Service
c~It;~