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Home My WebLink About0131625-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 734 FREDERICK ST CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner KARUCHRISTINA K NOLLENBERGER Contractor BLAU PLUMBING, INC. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Valuation Issued By _ Shower _ Floor Drain Lndry Tray _ Disposal Dishwasher _ Sump Pump 1 Classrm Sink _ Breakrm Sink _ Ejector/Grind Category 411 -Residential-Water Heaters Plan Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink _ Surgeons Sink F Prep Sink Serv Sink No 131625 Create Date 07/17/2008 Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Shamp Sink FIrlVyst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Date 07/17/2008 In the pertormance of this work, I agree to pertorm 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 AgenUOwner Address 12221 W FAIRVIEW AVE. MILWAUKEE WI 53226 - 3849 Telephone Number 1-414-258-4040 a~~~CUU~r u~speciions please can the mspectlon 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. $1,766.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided) ~~- City of Oshkosh ~ ~,~' ~~~~ Inspection Services Dtvtston ~~ ~~ P O Box 1130 JUL 17 2008 2 ~/ 9 ,~,, Oshkos(, Wj 54903-1130 ~~ ~ ~~ Phone: 920 236-5050 DEPARTMENh OF Fax: (920) 236-5084 COMMUNITY DE~IE!_OPMENT INSPE~~-f'~:)N SERVICES D:(~1ISION N THE wnr Plumbing Permit Application I hereby apply for a permit to do and install the following 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 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 narticinatinQ in the Permit Fee Account System and have adequate funds check here rf you want this processed through your account n ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) 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 E1V when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address / L ( SfValue (Including labor and materials) ~ ~ ~ Date Own ~(. l) ~,( Contractor I (~ ~~11'> ) Vl Ingle Family ^Duplex UIGIuIti-Family ^Rental ^Commercial Industrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn 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 Wale eater 0 El Clothes Wshr F Prep Sink Comm. Ice Maker as ect 0 PwrVnt Bidet Serv Sink Site Drain Shower Beer Ta P Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Sur eons Sink g R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Di Well P 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~ ~~~ ~}J~C.J\