HomeMy WebLinkAbout0122237-Plumbing ('e--#:) CITY OF OSHKOSH No 122237
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3145 WHITE TAIL LN #B Owner JAMES A/SHARON L HERBIG Create Date 09/20/2006
Contractor WATTERS PLUMBING Category 410 - Residential- Interior Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest FIr/Wst Sink Int Grease Trap
Lavatory 1 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet 1 Disposal Bidet Sculry Sink Wash' Ftn RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector /Grind Drink Ftn Sery Sink Soda Disp
Misc.
Fixtures
Use /Nature Condo/ Finishing basement* to include a rec room area and a 1/2 bathroom.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1329610215
i
Valuation $1,400.00 Plan Approval _ $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 192--)//0 1 ! Date 10/24/2006
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In the performance of this work, I agree to perform all work pursuant to rules governing the described constriction.
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 PO BOX 118 MENASHA WI 54952 - 0118 Telephone Number 920 -733 -8125
To schedule 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.
10/24/2006 TUE 11:26 FAX 1 920 733 2713 WAri'1'ERS PLUd.I ING Rj 002/002
Inspection Services Division
P U Box 1130
Oshkosh, WI 54 903 130 I (,1:14),
Phone: (920) 236 -5050 1
Fax (9 ?0) 236.5084 Of IIKQf
J I\
ON TH17 wATER
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Plumbing Permit Application
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform u
Wisconsin State Plurnbing Code, in the performance of which all parries hereto agree to and are bound by said statutes.
1
t Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services PO Box 1 128,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus
normal permit fee, which ever is greater.
OR
If t'ou are ornnrraoror � in Me Permit' �l
Fee ccc S , ,
- �<em end !rate adequate funds check 1
if t'ou wane this. L)!' cessed through Sur nccoyAr 1
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Job Address ,�� _ ,f? l ��'�'t. eh, Value t ` ?'
�� c Includinglahorand materials) / ��/,' ; (XI
Owner c-,. LI `� 1� i . ► 'c, C .ontractor ���� .. �' �i I' L c)
X itu le Family �]
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�.`—
Dup ex []Multi - Family (Rental (Commercial d t
�]�n r gal
• 1
1
Number of Fixtures: I
Bathtub Lndry 5landp
Dcni. Oper, Slra rim Sin k
W _ Disposal _ry,
hirlpool ` / sposa —.__ Dip Well Flr /Wst sink
Lavatory / Dishwasher —.
Drink Fin Catch Rusin
Toilet —1— Sump Pump — _.
Wait. St. i Wash Fin Ejector /Grind
R. Sink .
Ice Chest , Urinnl
Hnr fink Water Sofutcr —
Exam Sink Gar Drain
Water Hearer Local Waste —
C�ns Elect pwrvnt °� Sculty Sink Soda Disp
Clothes Wshr Fiend sink
Coffee Maker
Shown
_ -'� Bidet F Prep Sink - --
Floor Drain lcc MakcT
Lndry "fray Beer Tap — Sep/ Sink ~
Site Drain _
- '" Classrm Sink Int Grcnse Trap
Lab V Sink p , „,. Roof burin _
Surgeons Sink Ext Grease '1'ra
—”- "` P Stnndp Res
1.9rcakrm `ink _
Plaster Sink _•
Sterilizer - -••—
Electric Contractor
w• .. - O. (!Electric Electric ' nstallation VerificatiOn form attacl
(If Replacement)
Use /
Nature of Work
Size Material Type �G 0
Sanitar Sewer Conn. Type 1
Storm Scwcr •f O i91/411 e ''
a
Water Service t a
- f
I
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