HomeMy WebLinkAbout0133849-Plumbing (code corrections)OSHKOSH
ON THE WATER
Job Address 805 BOWEN ST
Contractor THOMAS PLUMBING
CITY OF OSHKOSH
No 133849
PLUMBING PERMIT -APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Owner KEVIN R DAWSON/JENNIFER D NEUMEIER Create Date 11/06/2008
Category 410 -Residential-Interior Plan
_ Shower Water Softner Wait. St. Shamp Sink
Floor Drain _ local Waste __ Ice Chest _ Flr/Wst Sink
2 Lndry Tray Clothes Wshr Exam Sink Catch Basin
_ Disposal Bidet Sculry Sink Wash Ftn
2 Dishwasher Beer Tap Hand Sink Urinal
_ Sump Pump Lab Sink Plaster Sink Standp Rec
_ Classnn Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Id #
0000
Valuation
Issued By
Date 11 /06/2008
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 r 'application within an easement, the City strongly urges the permit applicant to contact the
easement hol r( an to secure any neces pprov~~al~As"Abe/rfi~ore starting such activity.
Signature ,,~~~/~cti ~ ~/~jjJ.S!/!/!u~ Date
Address 849 VINE ST
OSHKOSH
WI 54901 - 3665 Telephone Number 232-0094
i o scneaule inspections please call the Inspection Request line at 238-5128 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 performed within two business days from the time the project is ready.
200.00 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
01HK0 H
ON THE WATER
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 $100.00 plus the normal permit fee, which
ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed throu~your account n
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Peprmit Issuance and will be returned for completion. /
Job Address U ~ s ~~ (,~1-~--Ui Value (Including labor and material ~ ~ • ~ Date / ~ ~ ~a~
~ ~, t, r
Owner en2ty ~/'oP Contractor l ~u~Gt$ ~~~~-//iii
^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 Ejector/Grind Exam Sink Gar Drain
Res. Sink _~ Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker
^ Gas ~ 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 EIV Form)
Use /Nature of Work 50~ ~ ~(~ ih s~.1/e~ ~`
rIli i ~ , /~'1~1t~i cC,
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
o~/o~