HomeMy WebLinkAbout2008-Plumbing (sink & clothers wshr)OSHKOSH
ON THE 1WATER
Job Address 1547 PLUMMER ST
Contractor DRUCKS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
_ Shower Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FIr/Wst Sink
Lndry Tray Clothes Wshr 1 Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
1 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
EjectoNGrind Drink Ftn Serv Sink Soda Disp
Valuation $1,170.00 Plan Approval $0.00 Permit Fees
Issued By
Date 07!31 /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 Date
Address PO BOX 355
CITY OF OSHKOSH No 131962
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DIANE L KAISER .Create Date 07/23/2008
Category 410 -Residential-Interior
AgenUOwner
MENASHA
WI 54952 - 0000 Telephone Number 426-2654
~ a~~~esau~r~ ~nspecz~ons please cau the Inspectlon Request line at 238-5128 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.
Plan
Coffee Maker
_ Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
1 Wtr Sewer Mtrs
Deduct Meters
WtrUsage Mtrs
$25.00 ^ Permit Voided
City of Oshkosh
Inspection Services Division
P OBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050 ~/
Fax: (920) 236-5084 HK H
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnbed, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and aze 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
~~ou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds check here
if you want this processed throueh your account I~
o~
Job Address I ~ `~ ~ P~ vr--.n cr; S . ' Value. (Including labor.and materials) ~ X70 Date `7-Z Qj ..4 $
Owner .0 : ~ nre LtQ . se i Contractor ~ lrtlz..r~5 ~(
['Single Family ODuplex Multi-Family ORental ^Commercial QIndustrial
Number of Fixtures:
Bathtub. Disposal
Whirlpool Dishwasher ', ~'
Lavatory Sump Pump
Toilet Ejector/Grind
Res. Sink / Water Softner
Bar Sink Local Waste
Water Heater ~~~Y ~ Yuck Clothes Wshr ' /,
Gas ^ Elect ^ PwrVnt
Bidet
Shower ~
Beer Tap j
Floor Drain Classrm Sink ~
~~ Tray Surgeons Sink
Lab Sink gnaw Sink
Plasttr.Sink Dip Well
Sterilizer Hose Bibs
Misc.
j
Fixtures
Drink Ftn Catch Basin
Wait, St Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP.2. Valve Eye Wash Stn
Shame Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mfrs
Electric Contractor OR Electric Installation Verification form attached
', (If Replacement)
Use /Nature of Work Rcrpho,c c~~-~w s
Size Material Type _Cond~. Type ;_
Sanitary Sewer ~ ° ' . , t". ~, s~ ~x
Storm Sewer I ~UL 31 2008
Water Service j ~e.r`A6~ rt ~ ry ,~ ~. ,
/^ ~~AA~pA~ ri~~~~.
INSRECTIQP~ ~',rWRVI~ ~:'= ... ~.
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