HomeMy WebLinkAbout0144978-Plumbing (re-water pipe home) CITY OF OSHKOSH No 144978
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 412 E IRVING AVE Owner EDITH SUREN Create Date 02/23/2011
Contractor JIM'S PLUMBING & HEATING INC Category 420 - Residential -Other 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 Re -water pipe home.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1004250000
Valuation $ ,250.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 02/23/2011
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 W6166 GREENVILLE DR GREENVILLE WI 54942 - 9676 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.
02/23/2011 12:05 FAX 920 757 6482 JIM'S PLUMBING a001 /001
City of Oshkosh - Inspection Services Division - Plumbing Permit Application Page 1 of 1
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CITY O► 215 Chuck Avenue
. ., OJHKOIH P.O. Ma 1170
Oshawa. WI 54903-[[70
ma (920)736.50114
..-4 t.:: . ON THE WATER Mora (920) 236-5050
PLUMBING PERMIT APPLICATION
AN Information with • next to It must be provided. Incomplete applications will not be proceed.
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apply for a permit to do and Install the following Numbing on the premises hereinafter described, the were to conform to the Wisconsin State Plumbing Coda, In the performance of which all
agree to and are bound by said statutu.
AppllcaUon(s) and fee(S) can be brought to City Hall, Room 205 or melled to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commenting work without permlt(s) wIE result In fees being
doubled or 1100.00 plus the normal permit fee, whldt ever Is greater. rrF,'! /'
if you are a contractor oarUdpatine In the Permit fee Account System and have adequate fund.. floe YES If you want this Processed through your a000wnt I/ /'..
•• Advisory - For applicable projects, en Electrical Installation Verification (MIV) form, signed by the IBMdal 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 1. required, will net be proowed for Permit Issuance and will
be returned for completion. 1
•3OR ADDRESS I - -_ 3- f Z .. L V_lN / __ _ . _
°OWNER I. ..... . /1, (y.1`L.. ....440_,L, r-fi._ , `. - .k.e1J..„„y
•COHTRACTORI qL/ • _ P A 7._...........
*VALUE
iz- v
MS! CATEGORY
Ingle Family r Duplex r Multl- Family r Rental C Commercial (, Industrial
Bathtub 177 Sump Pump Paster Sink
I-7 Roof Drain l r
Shower San. Sump /Pump I- Scullery Sink
Whirlpool I-7 771 Soda Dap r—
W
�? W ater Softener 1 - Servlu Sink i Coffee Mkr r' -.
Lavatory 17 Standpipe Rae [T Shamp Sink r- Site Drain I'�
Toilet ITT Garage FD 1777. l
. Surgeons Sink I WeRrs Stn 17----
Km Sink 1771 Local Waste
Sterilizer I Ice Chest
Disposal Bar Sink
I -- RP2 valve I Comm Ice Maker r�
Dishwasher 17 Breekrm Sink Bidet
Int Grease Trap r'
Floor Draln r7. Classrm Sink I Urinal Ext Grease Trap
Hose Bibb Exam Sink 1
I _.. Beer Tap I . ... ; !Ye Wash Stn I
Water Heater 177. F Prep Sink t'''om
1 Dipper W!A I OeduR Meter 177
r Gas r Electric C Pwr Vnt Floor Sank. ...E 7.,i Drink Fntn I Wtr Sewer Mtr I
Clothes Wshr 77 Hand Sink I Wash Fnm 1�
. : Wtr Ueape Mtr
7---1 I .
Ln5ry Trey Lab Sink r Catch Basin I-7 Mac Fixtures r
•U5E / MATURE OF WORK 77,.._
•VALUE (Including labor and all material. including Tight fixtures)
I .
ELECTRIC CONTRACTOR (for projects not requiring an IIV form)
I •
Size Material Type a Conn. Type
Sanitary Sewn I._.._- . J 1 __..__..I 1 _._ 1 _ 1 I
Storm Sewer I _ . .... .. 1 1 __ _ __ . 1 17.777
WaterServke 1 CI 1 1 i I
Received Time Feb.23. 2011 10:37AM No.4749