HomeMy WebLinkAbout0144071-Plumbing (water lateral) CITY OF OSHKOSH No 144071
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1137 BOWEN ST Owner JAMES R ELLERBUSCH Create Date 11/15/2010
Contractor SAMMONS PLUMBING Category 401 - Residential - Exterior (laterals) Plan
Bathtub 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 San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet 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 Repair water lateral.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service 3/4" Copper Lateral 1 Repair
Parcel Id #
1108750000
Valuation $ 0.00 Plan Approval $0.00 Permit Fees
$50.00 El Permit Voided
Issued By ,� Date 11/15/2010
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 522 W. MURDOCK AVE OSHKOSH WI 54901 - 2298 Telephone Number (920) 231 -9880
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.
I RO M :SAMMONS PLUMBING FAX NO. :9202318485 Nov. 15 2010 09:19AM P1
522 W. Murdock Avenue
920-231-9880
F 920231485 Sammons Plumbing
Fax .
Ya City of Oshkosh From Mike Sammons
A7TN: Plumbing Inspector Pages: 1
Phases 920- 231 -9880 Dates 11/15/10
Rs Plumbing permit CC
O Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
• comments: Please process the following plumbing permit
Please pay from our account
Jim Ellerbusch
1137 Bowen
Repair water lateral
Value $700.00
Received Time Nov, 15. 2010 8:14AM No. 3723