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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 ■ 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 • 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 /i �// r 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 �] ■ �.`— 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 3/