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Home My WebLink About0133108-Plumbing (sink & dishwasher)~1 OSHKOSH ON THE WATER Job Address 1308 SPRUCE ST Contractor BLAU PLUMBING, INC. Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Valuation Issued By CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner TIMOTHY J/ERIKA J SCHLOSKEY Category 410 -Residential-Interior Shower Water Softner Wait. St. Floor Drain Local Waste Ice Chest Lndry Tray Clothes Wshr Exam Sink Disposal Bidet Sculry Sink 1 Dishwasher 1 Beer Tap Hand Sink Sump Pump _ Lab Sink Plaster Sink _ ___ _ _ _ Classrm Sink Sterilizer Surgeons Sink Breakrm Sink Dip Well F Prep Sink Ejector/Grind Drink Ftn Serv Sink Date 09/25/2008 In the performance of this work, I agree to perform ali 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 holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 12221 W FAIRVIEW AVE. MILWAUKEE WI 53226 - 3849 Telephone Number 1-414-258-4040 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. No 133108 Create Date 09/25/2008 Plan Shamp Sink Coffee Maker Flr/V1Ist Sink Int Grease Trap Catch Basin Ext Grease Trap Wash Ftn RPZ Valve Urinal Eye Wash Statn Standp Rec _ Wtr Sewer Mtrs Ice Maker Deduct Meters Gar Drain Wtr Usage Mtrs Soda Disp $2,066.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided -~- City of Oshkosh ~ ~3Z~ V Inspection Services Division c , ^ P O Box 1130 ~ ~J Oshkosh, WI 54903-1130 ~ ~~ Phone: (920)236-5050 Fax: (920)236-5084 ~ 2 K ON THE WATT Plumbing Permit Application 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 co_n__tractor participating in the Permit Fee Account Svstem and have adequate funds. check here ifyou want this processed through your account ** 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 p Q~ Job Address ~ ~ l~Q ~ Value (Including labor and materials) ~ ~~ ~5/ Date ~ /7 ~ v Ow r ~~ Contractor C3L~ l~ >`n Ingle Fami y ^Duplex ^Mu ti-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 Baz Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker ^ Gas 0 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 Electric Contractor (for projects not requiring an IV Form) Use /Nature of Work ~ t'I~'_~1~~ ~I~ ~ ~C~C~ Q Q (Q.t;~IA~~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer- $EP 2 5 2008 Water Service COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION M~ 1 . ~- o~/o~