HomeMy WebLinkAbout0134243-PlumbingOSHKOSH
ON THE WATER
Job Address 845 KEENVILLE LN
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RUSSELL E/MARGARET M LOSSE
Contractor D R GLAZE PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Valuation
Issued By
Category 410 -Residential-Interior
_ Shower Water Softner Wait. St.
-- Shamp Sink
-- _ - __
Floor Drain Local Waste Ice Chest __ _ _ FIrlVllst Sink
_ Lndry Tray
Clothes Wshr
Exam Sink
-- - _
Catch Basin
_
_ Disposal Bidet Sculry Sink __ Wash Ftn
1 Dishwasher Beer Tap Hand Sink _ _
Urinal _
_ Sump Pump Lab Sink Plaster Sink Standp Rec
_ Classrm Sink Sterilizer Surgeons Sink Ice Maker
_ Breakrm Sink Dip Well F Prep Sink Gar Drain
_ Ejector/Grind Drink Ftn Serv Sink Soda Disp
No 134243
Create Date 12/03/2008
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 12/03/2008
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 any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number 920-589-4014
~~~~~~~~C ~~~specavns pease can Lne 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.
1__ $x.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
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