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Home My WebLink About2008-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 1321 WASHINGTt7N AvF Owner JENNIFER A ZIEMER No 130797 Create Date 06/20/2008 Contractor COMPLETE PLUMBING INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 411 -Residential-Water Heaters Plan _ 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 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 $203.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 06/20/2008 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 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 Address 1197 RACINE ST T. ~~L_J__~_ e CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Agent/Owner MENASHA Date WI 54952 - 1735 Telephone Number 920-720-5390 •- ~~••~~~•~ •••Jr~~~~•+~~~ N~~a~~ eau one mspecnon reequest une at z36-5128 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-SOSO f ~~ Fax: (924) 236-5084 ~J ~ ~ 1 :7N rF~E ~NATEt2 Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, thv wrark to corfcrm to *h~ Wisconsin State Plumbing Cade, in the performance e~ which alt parties hereto agree to and are baund by said statutes, • Application{s) and fee(s) can be brought to City Hall, Roum 20S or mai;ed to Inspection Services, PO Bax 1128, Oshkosh W f 54903-1128. Commencing work without permit{s} will result in fees being doubled or x,'100.00 plus the norma; permit fee, whics~ ever is greater. OR 11'vou are a c ntractor Agrtici,pat:nQ in the Permir Fee ~ccour.t Svstem crud h~a~e crdeatirtre ±'ctracls, cheek here. if you want this processed through your account ,j~ ** Advisory -For applicable projects, an Electrical Installation Verification {EIV) Form, signed by the Electrical Contractor or Homeowner (for installations allowed to be perforated by the homeawnex) must be submitted with the permit application. Applicarions submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. ~JOb Address ~ t ~ ~vC~,, Value (lncludmg labor and materials)~~_:(~(~ Date_~_ Owner ~~,~~ ~~ Contractor ~ -~ ~~ ~ ~R~ ~_ Single Family ^Duplex []Multi-Family ^Rental ^Commercial ^industrial Number of Fixtures: Bathtub Disposal Drink Ftn ~atCl? Baslh Whirlpool Dishwasher Wait. St. Wash Ftn - Lavatory Sump Ptunp Ice Chest _ t!rinai R Toilet Ejector/GrinA Exam Sink _ C+~r Drain _ Res. Sink Water Softner __,_ ~ 5culry Sink _ Soda .:lisp Bar Sink Local Waste Hand Sink _~, _ Coffee Maker Water Heater ~_ Clothes Wshr F Prep Sink Cor;vn. lee Maker Gas CJ Elect ^ PwrVnt Bidet ', Sere Sink Site Drain ~ Shower Beer Tap _ lnt Grease Trap _ itooP Drain Floer Drain Classmt Sink Ext Grease Trap _~ Standp Reu ~ Lndry Tray Surgeons Sink _ R.P.Z. Valve _` _ t:ye Wash Stn Lab Sink Breakrm Sink Shamp Sink _ _ Wtr Sewer Mtrs Plaster Sink pip Well Flr/Wsi Sink I]educt Meters Sterilizer Hose Bibs Wtr Usi?fie Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EI`4' Form) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer , Water Service ~ t i - . ._ i o' ,;;,