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Home My WebLink About0133797-Plumbing (shower)r~ OSHKOSH ON THE WATER Job Address 1755 SOUTHLAND AVE Contractor OWNER Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Category 410 - Residenrial-Interior Shower 1 Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Flr/Wst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Scutry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Ctassrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink -Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp No 133797 Create Date 11/03/2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs FR /Replace 1st floor shower valve and stall. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Valuation Issued By Owner JOSE/EVA C MARTINEZ $550.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Parcelld # 0612340000 Date 11/03/2008 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 holder(s) and to secure a y n ssary approvals before starring such activity. r~ Signature ~ Date l~ ,, - Address WI 54901 - 0000 Telephone Number ~ o scneau~e mspecnons please can the Inspection Request line at 236-5728 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 performed 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 ON THE WATf 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 contractor_p(irticipatinF in the Permit Fee Account Svstem and have adequate funds. check here ifvou want this processed through vour 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} mast be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issaance a~n\d will be returned for completion. ~*' Job Address ~t~ S.S ~ c~~\`c~\~.~~ ~.~,~~- VRlue (Itcluding labor ar-a materials) ~ J v~ G Date l ~ I I ~~~ O~~er d~5`-,~-. ~Z,~~ 'C-.~~~~~~--- Contractor ~ l ~J,Smgle Family ~Duplea Multi-Family []Rental Commercial Industrial Number of Fiztares: Bathtub Dispose! Drink Fm Catch Basin Whirlpool Dishwasher Wait St Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet EjectodGrind Exam Sink Gar Drain Rea. Sink Water SoRner Scully Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wshr F Prep Sick Comm. Ice Maker U Gas U Elect U PwrVnt Bidet Serv Sink Site Drain Shower ~ , .._ Beer Tap Int Grease Trap Roof IJtain Floor Dram Classrm Sink Eat Grease Trap Standp Ree ~~' Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtts Plaster Sink Dip Well Flr/Wst Sink Deduct Metes Sterilizer Hose Bibs Wtr Usage Mfrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Farm) S/ //~~ Use /Nature of Work __ ~ /`~G~~ .S~G,_ ~-~ r~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o~/oz