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Home My WebLink About0133049-Plumbing (basement)OSl-IKOSH ON THE WATER Job Address 643 W 17TH AVE Contractor Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner CHRIS A/INGRID E GARRISON HOMEOWNER Category 410 -Residential-Interior Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Flr/V1Ist Sink Lndry Tray 1 Clothes Wshr Exam Sink Catch Basin 1 Disposal Bidet Sculry Sink Wash Ftn 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 Ejector/Grind Drink Ftn Serv Sink Soda Disp No 133049 Create Date 09/23/2008 Plan Coffee Maker Int GreaseTrap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs 1 backwater valve stall backwater valve, basement water closet and laundry tray. Merten Plumbing completed UG work per owner. Size Material Type # Conn. Type Storm Water Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Parcel Id # 1406110000 Date 09/23/2008 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 s rk, I agree perform all work pursuant to rules governing the described construction. Signature ti. Date Agent/Owner Address 643 W 17TH AVE OSHKOSH WI 54902 6704 Telephone Number To schedule inspections please call the Inspection 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 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. City of Oshkosh Inspection Services Division POBox1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 Plumbing Permit Application O HKO 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 If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here if 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 EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. n,~~ ~/ Job Address ~L13 ~ I7~"~" ~U~ Value (Including labor and materials) ~~(7W- "~ Date 'Z '7~0~0 Owner C ~ ~,(Lt~iIJ Contractor V1~tus2.7~~d ]Single Family ^Duplex ^Multi-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 Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker [7 Gas ^ Elect ~ PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain ~ Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures ~~ ` ,IfO G/`, vr~ V 4 ~~ ~' Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work ~f~l~ a~~ c.+6frr 1/.lw- v r a ~ ~ a-Y ~ ~.• ~ Size Material Type # Conn. Type /G .~~ ~~ Sanitary Sewer //~ ~ • Storm Sewer Water Service 07/07