The URL can be used to link to this page

Home My WebLink About0131951-Plumbing (interior)CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2741 FOND DU LAC RD ' Owner NANCY M SAMIDA Contractor VALLEY PREMIER PLUMBING INC ' Category 410 -Residential-Interior Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By 2 Shower 1 Floor Drain 3 Lndry Tray 3 Disposal 1 Dishwasher Sump Pump 1 Classrm Sink Breakrm Sink Ejector/Grind 2 silcock 1 Water Softner Wait. St. 1 Local Waste ' Ice Chest Clothes Wshr 1 Exam Sink 1 Bidet ', ' Sculry Sink ___ 1 Beer Tap ' Hand Sink 1 Lab Sink Plaster Sink _ Sterilizer'. ' Surgeons Sink _ Dip Well '~ F Prep Sink Drink Ftn ~ Serv Sink i I No 131951 Create Date 07/28/2008 Plan Shamp Sink Coffee Maker FIr/Wst Sink _ Int Grease Trap Catch Basin Ext Grease Trap Wash Ftn _ RPZ Valve Urinal Eye Wash Statn Standp Rec 2 Wtr Sewer Mtrs Ice Maker Deduct Meters Gar Drain Wtr Usage Mtrs Soda Disp 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 holdernd to secu , a y necessary. royals before starting such activity. A Signature ! ~ , ~ Date J~,( .-S / ZCC~~ Agent/Owner ' Address 903 S SCHAEFER ST APPLETON I WI 54915 - 3674 Telephone Number (920) 205-5052 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. $8,000.00 Plan Approval $0.00 Permit Fees $147.00 ^ Permit Voided ~' Date 07/31/2008 City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 64903-1130 Phone: (920) 236-solo JUL 28 2008 O1HK01H Fax: (920) 236-6084 DEPAI;1`Mf=NZ ~~F ON THE WATER Plumbing Permit A~~~RVVEI_i~F~MIENT ICES DIVISION 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 64903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR I~you are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here if you want this processed throu~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 EIV when such is required, will not be processed for Permit Issuance and will b/e returned for completion. (~ Job Address~~y~ 1 Dr~U/i3 C ~dl • Value (Including labor and materials) t7 QQd • ~ ~ Date ~ ~O ~~ .~ _ 1.. r _ _.~_ 1 Owner Contracto - ~Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: 2 / Bathtub Disposal ' i Drink Ftn Catch Basin Whirlpool ~ ishwas er ' L_ ! Wait. St. Wash Ftn Lavatory _~ Sump Pump _~ ', Ice Chest Urinal Toilet ~_ Ejector/Grind ' Exam Sink Gar Drain Res. Sink ~ Water Softner i 5culry Sink Soda Disp Bar Sink Local Waste ' Hand Sink Coffee Maker ~ Water Heater Clothes Wshr ~ ! F Prep Sink Comm. Ice Maker ^ Gas ^ Elect Vnt Bidet I Serv Sink Site Drain Beer Tap ', Int Grease Trap Roof Drain Floor Drain ~ ' Classtm Sink ! Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink ' I Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well ~ Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs 2 Wtr Usage Mtrs Miser '~ Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work /~ lUM ~, i, ~ ~'1 Pub'' 6' Size Material Type # Conn. Type Sanitary Sewer I ~ I I Storm Sewer II Water Service '~ ~~ ,_ l t. 2 ?~- S~Z`7 ~~~ V U ' s~ G /`'t /~ ~ c .~~ ..~•~ o~/o~