HomeMy WebLinkAbout0145379-Plumbing (sump pit & pump) 41C111) CITY OF OSHKOSH No 145379
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1165 ALGOMA BLVD Owner HAROLD E BUCHHOLZ Create Date 04/07/2011
Contractor MR ROOTER OF THE FOX VALLEY Category 412 - Res - Interior (New /Relocated Fixtures) 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 1 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 SFR / Install sump pit and pump. *"debit acct
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0507200000
Valuation $900.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By 6/jy-x/ar Date 04/07/2011
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 PO BOX 1141 APPLETON WI 54912 - 1141 Telephone Number 920 - 687 -9178
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.
PLUMBING PERMIT APPLICATION Page 1 of 2
Stephenson, Ann M.
From: PLUMBING PERMIT APPLICATION [Permit App _Plumbing @ci.oshkosh.wi.us]
Sent: Thursday, April 07, 2011 9:29 AM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:4 /7/2011 9:28:50 AM
Permit Fee Account
YES
System:
Job Address: 1165 Algoma Blvd
Owner: Harold Buchholz
Contractor: Mr Rooter of the Fox Valley
Use Category: Single Family
FIXTURES
Bathtub: Sump Pump: 1 Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool: Water Service Coffee
Softener: Sink: Mkr:
Lavatory: Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice
Chest:
Comm
Disposal: Bar Sink: Vai e• Ice
Maker:
Breakrm Int
Dishwasher: Sink: Bidet: Grease
Trap:
Floor Classrm Ext
Drain: Sink: Urinal: Grease
Trap:
Beer Eye
Hose Bibb: Exam Sink: Wash
Tap: Stn:
4/7/2011
PLUMBING PERMIT APPLICATION Page 2 of 2
Water F Prep Sink:
Dipper Deduct
Heater: Well: Meter:
Drink Wtr
Floor Sink: Fntn• Sewer
Mtr:
Clothes Wash Wtr
Wshr: Hand Sink: Fntn: Usage
Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fixtures:
*USE / NATURE OF WORK install sump pit and pump
*VALUE 900.00
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
4/7/2011