HomeMy WebLinkAbout0133379-PlumbingOSHKOSH
ON THE WATER
Job Address 1334 RAHR AVE
Contractor THOMAS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
1 Shower
Floor Drain
1 Lndry Tray
1 Disposal
1 Dishwasher
_ Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
Valuation
Issued By
CITY OF OSHKOSH No 133379
PLUMBING PERMIT -APPLICATION AND RECORD
Owner KEVIN DAWSON/JENNIFER NEUMEIER Create Date 10/09/2008
Category 410 -Residential-Interior
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Plan
Shamp Sink
FIrIWst Sink __ __
Catch Basin _
Wash Ftn __
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve _
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 10/09/2008
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 p it application within an easement, the City strongly urges the permit applicant to contact the
easement holde s) an to secure any ne ary approvals before starting such activity.
Signature Date 1'Q " / `~~
Address 849 VINE ST
AgenUOwner
OSHKOSH WI 54901 - 3665 Telephone Number 232-0094
i o scneauie 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.
$2,00000 Plan Approval $0.00 Permit Fees $28.00 ^ Permit Voided
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
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 (EIS 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 Issuancean/ d will be retarned for completion. ~q~~
Job Address !33 ~ /~~%~~ ~• Value (Including labor and materials) VW Date d - ~~
Owner ~~h:~.k~ i~~F.~.1~.~'S Contractor ~ S
]Single Family ^Duplex ^Multi-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 _~ EjectodGrind Exam Sink Gar Drain
Res. Sink 6
k F,S. Water SoRner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker
~ Gas ~ Elec t ~~ 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 EIV Form)
Use /Nature of Work ~px,~~/ 0~ ~o~'ifi~a. cr`T C~a.T~
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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