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Home My WebLink About0130639-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 1003 OAK ST Contractor BJD CONSTRUCTION LLC CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Owner A G/LUCILLE A OSWALD No 130639 Create Date 06/17/2008 Category 411 -Residential-Water Heaters Plan _ Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest FIrIWst 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 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 Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation $850.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 06/17/2008 In the performance of this work, I agree to perforrn 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 pertorm 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 Agent/Owner Address N954 PEBBLE RIDGE RD GREENVILLE WI 54952 - 8671 Telephone Number (920) 740-1535 t o 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 pertormed within two business days from the time the project is ready. 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 2008 ED DEPARTMENT OF I hereby apply for a permit to do and install the following plumbing on the premises hereinafter describe(~pt11p11iii~itU~'1'o@6blfd~Ai'f~8~F1~ Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and at~1Q~Iga~E~lilGireS. DIVISION • 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 If you are a contractor participating in the Permit Fee Account System and have adequate funds check here if you want this processed throu~vour account n ** Advisory -For applicable projects, an Electrical Installation Verification (Elm 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 Pe it Issuance an`d will be returned for completion. ~j'~ Job Address v 1 ~(/t Value (Including labor and materials) ~ ~J v Date ~ G~7 0~ O ner ~ ~~~ ~~t I~. 5~ ~ Contractor 1~ ~ On Sf ~" u-C ~' i O Yl. ~ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Fhi 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 C Water Heater + Clothes Wshr F Prep Sink Comm. lce Maker ~s U Elect 0 PwrVnt 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 Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Miser Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer ', Water Service o~~o~