HomeMy WebLinkAbout0132164-PlumbingI~
f
OSHKOSH
ON THE WATER
Job Address 1696 COVINGTON DR
Contractor D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
_ 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 1 Bidet Sculry Sink Wash Ftn
1 Dishwasher 1 Beer Tap j Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
_ Classrm Sink Sterilizer i Surgeons Sink Ice Maker
Breakrm Sink Dip Well i F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn i Serv Sink Soda Disp
w rtemoaeung the Kitcne
tubing permit is required.
new cabinets, counter tops, and flooring. No walls are being moved. A seperate electrical and
Size l Material
Sanitary Sewer ~
I
I
i
I
Storm Sewer ~
Water Service ~
i
I
I
i
$1,000.00 Plan Approval $0.00 Permit Fees
Type # Conn. Type
$25.00 ^ Permit Voided
No 132164
Create Date 05/27/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Parcel Id #
1317020000
Date 08/11/2008
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 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 i Date
Address 1865 JAMES RD
Agent/Owner
OSHKOSH
WI 54904 - 6873 Telephone Number 920-589-4014
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.
I
i
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner JEFFREY ULISA A KOROTKO
Category 410 -Residential-Interior
s •i Y~ ~ i
~ ~M+rf~Ns Qwwisu
~ ~ r
r
~~ ,
$~b (fig y • ~ ~
.... .
per" '~ ~ ~-pt~lca~io~
~ ~1r fora pp~;~ ~,~, ~ ~ iawA~r~ ~1k
~Mt~~tC~M~~eflr~e,d~~ ~~ ~ a
~ ~ ~ ~ ~f~? ter b~ ~~~ ~ ~~ vrNpr~d~b
OMl~caate ~-f S411n3- ~ t 7.~. ~ ~eririm~„ !b ,8~ac f -~,
ror~! pew &~ „ ~~ ~ "~'~ 'p~(~ ~~ ~arulti~r ~t~ or ~ t~l! tftl pMer
CQ
~~ flier rw~ r.........._ _ ~_ --
._._
~t
Fd L. ~, --.~
x~~ar~
~ ~ ~ ~
~.~ ~~~
~
~~ ~
~~~~ ~ ~ ~,
a.~
-----~- ~~
......._ . ~,~.
rxf~- ~, Rf+. •r~qr ~
....._._ irtr~w+c lad .. ..
~.+~
twee .~...._. ~twr.~rr. -~
»-~
....
...~
~
~~
-.
...,. _ ~ArfWrc 1~rti ...-......
,~1t Yp~ ~.~,~
~~
~~ .~~.,~
.. s ~ ~ ~S ~ ~ b
~-~,~