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Home My WebLink About0133378-Plumbing (bathroom)OSHKOSH ON THE WATER Job Address 840 ELMWOOD AVE CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner MARK R STADLER Category 410 -Residential-Interior Contractor THOMAS PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work _ Shower 1 Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIrlVllst Sink 1 Lndry Tray 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 _ EjectorlGrind Drink Ftn Serv Sink Soda Disp No 133378 Create Date 10/09/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation $1,200.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 10/09/2008 In the performance 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 hol r(s and to secure ecessary approvals before starting such activity. Signature ~~~'+~~~~ Date /~ O Address 849 VINE ST Agent/Owner OSHKOSH WI 54901 - 3665 Telephone Number 232-0094 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. City of Oshkosh Inspection Services Division P O Box 1130 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 Svstem and have adequate funds. check here if you want this processed throwyour 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 an/d will be retarned for completion. ~ ~+' Job Address ~ ~ 1~-c.~ Value (Including labor and materials)} Z Oa Date ~U ~~' `''~ Owner ~~p/ ~e T rc~~,i^~ t.aS Contractor ~ ~~QS ^Single Family ^Duplex ^Multi-Family Rental ^Commercial ^Industrial Number of Fixtures: Bathtub Disposal Drink Ftn Whirlpool Dishwasher Wait. St. ~ Lavatory ~ Sump Pump Ice Chest Toilet ~_ Ejector/Grind Exam Sink Res. Sink Water Softner Sculry Sink Bar Sink Local Waste Hand Sink Water Heater Clothes Wshr F Prep Sink Gas ~ Elec t ;= PwrVnt Bidet Serv Sink Shower ~ Beer Tap Int Grease Trap Floor Drain Classrm Sink Ext Grease Trap Lndry Tray Surgeons Sink R.P.Z. Valve Lab Sink Breakrm Sink Shamp Sink Plaster Sink Dip Well Flr/Wst Sink Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) , Use /Nature of Work 7 fil~,lt al2c>( rePlY~2 ~-'~-t b W-e.~' Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs o~/o~