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Home My WebLink About0143899-Plumbing Ca) CITY OF OSHKOSH No 143899 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1110 MOUNT VERNON ST Owner AMY J KAUFMAN Create Date 11/01/2010 Contractor WATTERS PLUMBING Category 412 - Res - Interior (New /Relocated Fixtures) Plan Bathtub 1 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters _ Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory 1 San Sump /Pump Flr/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 Scully 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 / Remodel 2nd floor bathroom. **debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1003380000 Valuation $3,967.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By a-) Date 11/01/2010 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 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. 1 0 /29/2010 FRI 15:00 FAX 920 733 2713 Watters Plumbing -• City of Oshkosh 1001 /001 City of Oshkosh \p° Inspection Services Division \0 P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 OfHKOfH ON THE WATER I I Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Conunencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If von are a contractor participating in the Permit F Account .Sys•tenz and have adequate funds, check here if you want this processed through vour account ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. l� �Wi>nk Vern a / �� Date 1, O Z - �t 3 pp Job Address, �A]Ue (htctudinglaborandmaterials) 1 — 1t Own C WIC h j Co Contractor for W a }1 , 1 9 1 U m b► Ingle Family ❑Duplex ❑Multi - Family ❑Rental ['Commercial ❑Industrial Number of Fixtures: I3athmb 1_ Sump Pump Plaster Sink Roof Drain Shower San. Sump /Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory 1 Standpipe Rec Sham p Sink I Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer lee Chest Disposal Bar Sink RPZ, Valve Comm Ice Maker " Dishnmsher Brcaktm Sink Bidet Int Grease Trap Floor Drain Class= Sink Urinal lixt Grease "Crap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter IT Gas _ Elect 1' PwrVnt Floor Sink Drink Fnttt Wtr Sewer Mtr Clothes Wshr 1 -land Sink Wash Fntn Wtr Usage Mir Lndry Tray Lab Sink Catch Basin Mise Fixtures Electric Contractor (for projects not requiring an EIV Form) ei Use / Nature of Work Ate* At„,e,i Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service A'2.-S CQcrJ Received Time Oct. 29. 2010 2:53PM NO. 3499O 4 f„,tf11.,