HomeMy WebLinkAbout0134101-PlumbingCITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3135 HALLIE HOLLOW CT
Owner THEODORE A/PAMELA K MILLER
Contractor OWNER
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Category 410 -Residential-Interior
1 Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Wst 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
_ Breaknn Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
Date 11/19/2008
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 withi n easement, the City strongly urges the permit applicant to contact the
easement holder(s) an sec r any n ssary approvals before starting such activity. ~J
Signature ~, ~~- Date ~~ ` 'y~~l
Agent/Owner
Address Oshkosh WI 54901 - 0000 Telephone Number
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 performed within two business days from the time the project is ready.
No 134101
Create Date 11/19/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
$2,500.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided