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0130785-Plumbing (water valve)
OSHKOSH ON THE WATER Job Address 1252 BAY SHORE DR Owner RENEE J CARSON Contractor JIM'S PLUMBING & HEATING INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 410 -Residential-Interior _ Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest Flr/Wst 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 _ Classrm Sink Sterilizer Surgeons Sink Ice Maker _ Breakrm Sink Dip Well F Prep Sink Gar Drain _ Ejector/Grind Drink Ftn Serv Sink Soda Disp 1 back water valve Valuation $800.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided) Issued By Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Date 06/20/2008 In the pertormance 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 parry, 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. Signature Date Agent/Owner Address W6166 GREENVILLE DR GREENVILLE WI 54942 - 9676 Telephone Number 920-757-5258 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 pertormed within two business days from the time the project is ready. CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD No 130785 Create Date 06!20/2008 Plan 06/19/2008 16:55 FA% 920 757 6482 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903.1130 Phone: (920) 236-5050 Fax: (920) 236-5084 JIM'S PLUMBING Plt~r~ab~ng ~Perrrtit Application ~ ool/ool \~/ I hereby apply for a permit to do and instal! the following phuabing on the premises hereina#ter described, the'work to conform to the Wisconsin State Plumbing Code, ~in the performance of which allparties 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 is fees being doubled or $100.00 plus the nornlal permit fee, which ever is greater. OR Number of Fixtures; I ~/.~c G.~~~Alwc.. ~c i,~~ Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater O Gas O Elect ^ PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor OR ~Eiectrie Installation Verification t'orm attached (If Replacement) Use /Nature of Work C1 aU _ ~S-~~ 5' a.5 b~ Size Material ~ Type # Conn, Type Satlitary Sewer Storm Sewer Water Service Disposal - Dishwasher Sump Putnp Ejector/Grind Water Sotlner Local Waste Clothes Wshr Bidet Beer Tap Clsssrm Sink Surgeons Sink Brealtrm Sink Dip Well Hose Bibs Drink Ftn Wait. St Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trip R.P.Z. Valve Shamp Sink Flr/Wst Sink iNS 7~Z/17o,J G/z3 ~/17, ,Catch Besirl i . .Wash Ftn . • Urinal (Iar Drain .Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Doduct Meters Wtr Usage Mfrs 11/AS Job Address ~ Z S~Z 0-~A~ f ~,~~{ Value (Including labor and materials) M o 4 ~~ ~ *•• Date G l ~ /d ` -~ Owner ~ .~. ,J Contractor n,,~f ~J~ i;~:..:~ (Single Family . QDupleg• []Multi-Family ©Rental ~ ~ ~~~~ . ^Comtn~rcial ~ °: 'Qlntiustri~~.;":: _ : ~.