HomeMy WebLinkAbout0133101-Plumbing (Renew #105587)OSHKOSH
ON THE WATER
Job Address 520 OAK ST
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor HOMEOWNER
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Owner MARY P PHIPPC
Category 410 -Residential-Interior
_ Shower 1 Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Wst Sink
1 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
permit #105587 for the single story addition and remodel of existing house.
No 133101
Create Date 09/25/2008
Plan
Coffee Maker
Int GreaseTrap
Ext Grease Trap
RPZ Valve
Eye Wash Statn ____
Wtr Sewer Mtrs __
Deduct Meters
Wtr Usage Mtrs
Size Material Type # Conn. Type
Storm Water
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $28.00 ^ Permit Voided
Issued By ~~
Parcelld #
1103640000
Date 09/25/2008
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, I agree to perform all work pursuant to rules governing the described construction.
Signature ~~ Date
Address 520 OAK ST
Agent/Owner
OSHKOSH
WI 54901 4621 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 pertormed 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.