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
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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