HomeMy WebLinkAbout0133143-Plumbing (remodel kitchen)OSHKOSH
ON THE WATER
Job Address 2119 NEBRASKA ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Size
Owner KAY E WICKERT
Contractor OWNER Category 410 -Residential-Interior Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink ___ Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest FIr/Wst Sink _ _ _ Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal 1 Bidet Sculry Sink Wash Ftn RPZ Valve
Res. Sink 1 Dishwasher 1 Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec _ Wtr Sewer Mtrs
Water Heater Ctassrm 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 FR/ Remodeling the kitchen, installing new cabinets and countertops. Removing a section of the kitchen wall and installing a beam to span
of Work rom the exterior of the house to an existing post in the basement. All loads are required to properly transfer to
Sanitary Sewer
Storm Sewer
Water Service
00 Plan Approval $0.00 Permit Fees
Parcel Id #
1402410000
Valuation
Issued By
No 133143
Create Date 06/05/2008
Type # Conn. Type
$25.00 ^ Permit Voided
Date 09/26/2008
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 holders and to secu~ny ne ary ppro Is before starling such activity.
Signature Date ~ ~ b
Agent/Owner
Address 2119 NEBRASKA ST OSHKOSH WI 54902 - 7052 Telephone Number
~ o scneouie 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.
City of Oshkosh
Inspection Services Division
POBox1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Plumbing Permit Application
O.lHKO1H
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 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 Iss~ulance and! will bye returned for completion. /_
Job Address ~ I ~ I~~Q~~(~ ~1, Value (Including labor and materials) Y ~ Date ~/
Owner 7~Gel~ ~,1 ~l,~~iKP 1~~ Contractor ~I'~GQ~I ~ti'1 ~ ~~~1 (CoI,V'~2~'l ~V'
Single Family 1 "^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
^ Gas ~ Elect ~~ PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal ~ Drink Ftn Catch Basin
Dishwasher ~ Wait. St. Wash Ftn
Sump Pump Ice Chest Urinal
Ejector/Grind Exam Sink Gar Drain
Water SoRner Sculry Sink Soda Disp
Local Waste Hand Sink Coffee Maker
Clothes Wshr F Prep Sink Comm. Ice Maker
Bidet Serv Sink Site Drain
Beer Tap Int Grease Trap Roof Drain
Classrm Sink Ext Grease Trap Standp Rec
Surgeons Sink R.P.Z. Valve Eye Wash Stn
Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Dip Well Flr/Wst Sink Deduct Meters
Hose Bibs Wtr Usage Mtrs
I
Electric Contractor (for projects not requiring an EIV F
Use /Nature of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
o~/o~