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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~