HomeMy WebLinkAbout2010-Plumbing (tub & toilet) CITY OF OSHKOSH No 142022
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1021 WASHINGTON AVE Owner ROBERT C /MELODI D MCGUIRE JR Create Date 07/14/2010
Contractor KOCH PLUMBING Category 413 - Res - Interior (Replacement Fixtures) Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool 1 Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump FIr/Wst Sink Bidet Site Drain Misc.
Toilet 1 Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature SFR / REPLACE TUB AND TOILET * *debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0203300000
Valuation �00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By
Date 07/14/2010
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 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920 - 231 -6661 or 235
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.
Inspection Services Division P 0 Box 1130
Oshkosh, WI 54903 -1130
Phase: (920) 236 -5050
Fax (920) 236 -5084
P O7I OT
Plumbing ermit Applicati� ON
1 hereby apply for a pmmit to do and Mall the plumbing on the punkas hembrafter Wisconsin State Plumbing Code, in the pmt of which all work tb c to the
agree to and are botnrd by said statutes.
• Application(s) and fee(s) can be brought to City gay, Room 205 or mailed to Id
54903 -1128. Commencing work without permit(s) will resin in foes PO Box 1 i28, Oshkosh WI
auto is greater. � doubled a 5100.00 pits the normal Pit Lee, which
OR For " Advisory Contractor - Homeowner E , an tai T on 'it�
with the permit application. allowed to be pied by the hose >�eccrirai
with the en for Penult moons wit an kV when such �' b gybed
Lance and wall be retuned for completion. , will not be
Job Address ffjZl ��'Sff /rE..G1,r
lvahae { labor sad 1 Date 7-°/ / 2
Owner ' Jl.�^4,- Contractor ,aG°
LJSingie Finally ��M�P� O ,�' -
'0 ► < < [Industrial [Industrial trial
Number of
Shower > Pi RoofDrain
Shower
y' Sinik
Lavatory
WaterSofte Softener Service sink C sm.
Toilet ___L_ _ Res Amp Sisk c Ian
Garage FD side De
ps Wass sink — waitra Sta
Kit Sink La
Disposal — Bar side RPZ Valve Ica Chest
sa i' Bias town roe Maker Floor Drat t lama Siet Bidet — Iat Geese hap —
Dishwasher Breabm Hose Bibb fawn Sat Beer Tap Bet Meese Trap
Water Heater F pap sink — a" — wool Sin
0 Gas 0 BUM Pwrvnt Floor Sink Wen Dednaiffier
Clothes water Hand Sink � F� tVar Sewer).* _—
Lndry
Tray
--- Lab Sidle Catch Basin Wu'' 5s
Min Fixtures _
trio Contractor (for projects not
requiring an ETV Form)
,
'Nature
of Work F. # • _
Size Material TYPe
Sanitary Sewer it Cam. Type
Storm Sewer
Water Service
o This installation is complete and may be inspected at any tine.