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HomeMy WebLinkAbout0122671-Plumbing (?D CITY OF OSHKOSH No 122671 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2743 MINERVA ST Owner SCOTT G /ERICA L RAUCH Create Date 11/22/2006 Contractor JIM'S PLUMBING & HEATING INC Category 410 - Residential- Interior Plan Bathtub 1 Shower Water Softner Wait. St. Shamp Sink Coffee Maker Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Toilet 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 Break= 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 SFR / INSTALL NEW BATHTUB - REDO VENTS IN ROOF **debt acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1230160000 Valuation $1,500.00 Plan Approval $0.00 Permit Fees _ $25.00 ❑ Permit Voided Issued By 7L�J Date 11/22/2006 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 W6166 GREENVILLE DR GREENVILLE WI 54942 - 0000 Telephone Number 920 - 757 -5258 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. il 11/22/2006 16:24 FAX 920 757 6482 JIM'S PLUMBING 11001 /001 City of Oshkosh Inspection Services Di P Box 1130 NO 2220060 Oshkosh, WI 54903-1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 r '• H ON HE WATER 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 1 128, Oshkosh WI 5 4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR / • e a con >ract• .: r 'ci . • Iv i at wan t is _ • e s-. thr. ., • r • • r 't sc aunt 8 t .nd a e aa'e•uat rz•s check hers Job Address' r ' ( [fC. Value (Including labor and materials) t ... j �� -•` Date Owner `,. ,E U Contractor S ingle Family DDuplex ❑Mufti -Farm] y ❑Rental QCommercia] ❑Xlndustrial Number of Fixtures: tthtub (" Lndry Stu,tdp Dent. p r, Whirlpool Disposal � Sltantp Sink Lavatory ''_-' Dip Woll Plr/Wst Sink Dishwasher Brink Ftn Toilet Sump Pump Catch Basin tZcs. Sink Wait• St. Ejector/Grind Ice Chest Wash FM Bar Sink Water Softer Urinol Water Heater Exam Sink — _ __ Local Waste Gar Drain O Gas 0 Eicct 0 PwrVnt Scuiry Sink Soda Disp Clothes Wshr Hand Sink Shower Bidet Coffee Maker Floor Drain F Prep Sink Ice Maker Baer Tap Sen S in k Lndry Tray Site Drain Ciassrm Sink Ins Grease Trap Lab Sink Roof Drain Surgeons Sink L'xt Grease Trap Plaster Sink Stand Ree Sterilizer Brealmn Sink R.P.Z. Valve p Eye Wash Stn Electric Contractor OR (,Electric Installation Verification form attached (If Replacomcnt) Use / Nature of Work vi j . Size Material T ype Sanitary Sewer Conn. Type Storm Sewer ' Water Service J 7/03 08/05/2003 TUE 12:26 [TX/RI NO 7988] 0 001