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HomeMy WebLinkAbout0134280-Plumbing (lndry tray)n OSHKOSH ON THE WATER Job Address 3935 SUMMERVIEW DR Contractor LARRY HANSEN PLBG Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner JEFFREY UMOLLY M BUT Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink EjectorlGrind Water Softner _ Local Waste 1 Clothes Wshr _ Bidet _ Beer Tap _ Lab Sink _ Sterilizer _ Dip Well Drink Ftn Category 410 -Residential-Interior Wait. St. __ Ice Chest ____ Exam Sink - __ Sculry Sink Hand Sink Plaster Sink __ Surgeons Sink F Prep Sink Serv Sink No 134280 Create Date 11/25/2008 Plan Shamp Sink _ Coffee Maker FIrIWst Sink Int Grease Trap Catch Basin Ext Grease Trap Wash Ftn RPZ Valve Urinal Eye Wash Statn Standp Rec _ Wtr Sewer Mtrs Ice Maker Deduct Meters -- Gar Drain Z Wtr Usage Mtrs Soda Disp Valuation $200.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 12/05/2008 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 N-1044 TOWER VIEW DR GREENVILLE WI 54942 - 8683 Telephone Number 920-757-6863 a~~~a~u~C mspevuvns please can ine mspecuon Kequest 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. fnspretian Set~t'i<~s's ~P:ri.tii(~n P [} ilox 11:}i7 C1shl.ostt, 1V1 51903-1 t30 Phone: O2(?) 2.36-i(}Sp Fax: (~~20j 23(i-5034 ~'~Jr- GG l~'lurnbinr~ Per~~rit Application N o, 241 ?.--~,P, O ~ E WATER t hrrclty aF,ply for a permit to da and install the fullowittl; plumt~ing on the premises hereinafter described, the work to conform to the Wisconsin St~-rte Plumbing t,ode, in the performance of which aq parties hereto agree to and are bound by said staiuCes. ~ Appticatir;rrt(s) and #'ce(s) cirtt be bratrght to City Hatt, I~toum 2()5 or mailed to Inspection Services, PO 13ox 1128, Oshkosh 1'SrI ti49t}3-1128, t..omntGncin~, work without pzrmit(s) will result in fens being doubted or $100.Q0 pars the normal permit fee, tti~hich eyrt is groatar. OR 1 ' +ri?i_jIt€. ~l..S.!~!tlrcralo~~ ~nrlici~2at.fn~? _r1r rlre,_/'errrai!_ k'~_~~1cci~u>•rt SVslent anr~ (rave aileeur)fe funds check here r1 vf,~ ~y~~l~"_ff~is_~,rocESSec~ tltrot~[~lr p_u~rr~ r~ccour,t _ j-j ** AflYisory ~ i'or applicable pro~jec;ts, an $Iectricul T~i<stallation Verification (EIy} fotxn, s>rgnetl b~ the Elr: ctricul Cot't~•ilciti,r oY• ~It»;lr<rt~wi~er (Pt)z instllllatioxts allotived to l;'e perfn>;vied b~ the liornetawrier} rnr><st be s>iz~rnittt;ti ~vitl>` il1;r pP.i7nit application, Agplzc[rtions si[brnittcd wltlrput an DIY when such is required, will not be prot;essrcl Yar PeY`ruit Zssuttr~ce litid will b~/~rCrtrlrtted FoY~ t;timpletiori. JOII f~d(Ir'f',.,s ~9.3~ .J~~/P,J'Ur~ /r/r Vill[l@ (Includinglahor and materials}~~ ~ ~~ Date ~/ a/~' ~©~' ~~vrier ~O//~a'd_~c_~~-- __ Cunti~itctor L-G~-!'/y ~~ra'J.4~'~ ~._~SJtrI;lL F.r-ril;y [~f.:trlt,e:x {_{it~It;lti-.r+iitrilly ^12ent-;t [JLortimetcial QIndustrirrl Ntirtrlrer of p'ixttri•eg; tsnthulE( _-- 1)ispnsal __-- - Drink rtn lVbirlpnol ________., Dishwasher _.___ .__. 1Yait.St. Lavatory _-_-------- Sump Pulnp _ __- ----_ 1cc chest rQiiel ____ ~~CCtOf/Ciffn(t __ _, t~)ia~tl Sulk RcJ. SInL _-______ `lfatCr SOttnCr Scully Sink Bar Sint; 1.oca1 t4;rste 1-[;~nd Sink 14`alCr t1f,ACEr ___ ('t0(tles' Wshr ___ _. _ ['' ['fCt7 Sln)c O Gas ^ E:Icct r~ i'wr~'ni Shinvrr [ildei Seiv Si~dc '--- Flo(,r (ruin [tccr `hup _ tut Grease Tr;tp -- -- _ -- ` r;ln,-ssml :link __ _ - Fxf Cr~c~sa Trap l n•11y I ray _ .._ _.. _ Sure=eon, ;~iok U _"._ , ~ . __ tt.! ,L. Valve Lal, Sink _.___ @realtmt ilnt -- -_ ._ .Shan~p Sink PhYSter Sir+l< __-- Di, 14~cH t __ _ FtriWstSink 11CI Iii~Cf _-- tiosc Isibs A•i i to. `-"-~ "-- Fixtnres L:[eci~ric C:artlri~Ctor (tor p rojeety Writ rKyttiriu~ sir r ti.l~' l~o[•tii) ()si; / Nsrture of ~41'ot•lc _~., CatCh 88Sin __- 44'ash Ftlt Urinal Gar [~faln Soda Disa Coffee Maker Comm. lee Maker Silo rirain hoof Drain Stsndp Rec Eye 1Yasb Sbt tiVtr Sewer Mfrs C~educt Meters Wer Usage h41rs ''i i r'.P. .`ianiiary Se~'e1' ~tafnl ii E: Wf,',t >`~ltttt~rinl '('~+. •~s r)7lQ~