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HomeMy WebLinkAbout0132853-Plumbing CITY OF OSHKOSH No 132853 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1326 CENTRAL ST Owner STEVEN G MARKECH Create Date 09/12/2008 Contractor HOMEOWNER Category 410 -Residential-Interior Plan Bathtub 1 Shower Water Softner Wait. St. Shamp Sink Coffee Maker Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Int GreaseTrap Lavatory 2 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Toitet 2 Disposal Bidet Sculry Sink Wash Ftn RPZ Valve Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature Remodel existing bathroom and add 1/2 bathroom of Work Size Material Type # Conn. Type Storm Water Valuation $1,500.00 Plan Approval Issued By Parcel Id # 1501220000 Date 09/12/2008 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the performance of this work~yl agree to perform orl~.p~rsuant to rules governing the described construction. Signature ~~ ,~/ ~ _ „~ Address 1326 CENTRAL ST $0.00 Permit Fees $35.00 ^ Permit Voided Agent/Owner OSHKOSH WI 54901 3750 Telephone Number 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 performed within two business days from the time the project is ready. 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. Date ('-~Z~O~ City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 Plumbing Permit Application 01HK0 H ON THE WATER 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 I~you'are a contractor participatin,e in the Permit Fee Account System and have adequate funds, check here if you want this processed through .amour 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 EN when such is required, will not be processed for Permit Issuance and will be returned for completion. // p Job Address 132 C~N~7LAC.. 5 ~ Value (Including labor and materials) (J`~bD~ ~ Date ('- f Zr-O~ Owner ~~vE /Ylt{2l<-~-~/ Contractor S~-F Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: Bathtub ~ Disposal Drink Ftn Whirlpool Dishwasher Wait. St. Lavatory Z Sump Pump Ice Chest Toilet ~ Ejector/Grind Exam Sink Res. Sink Water Softner Sculry Sink Bar Sink Local Waste Hand Sink Water Heater Clothes Wshr F Prep Sink ^ Gas ~ Elect ~~ PwrVnt Bidet Serv Sink Shower Beer Tap Int Grease Trap Floor Drain Classrm Sink Ext Grease Trap Lndry Tray Surgeons Sink R.P.Z. Valve Lab Sink Breakrm Sink Shamp Sink Plaster Sink Dip Well Flr/Wst Sink Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work ~Z. ~tr`~EZ ~~STin~ ~ ~~ L 13,r~-r~-(, ~~ 1~ f-~~}LF 3<+~-/ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs o~/o~