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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 o~/o~