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Home My WebLink About0147026-Plumbing CITY OF OSHKOSH No 147026 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1222 OTTER AVE Owner ANDREW MERTENS /P &R MERTENS MGMT TF Create Date 07/28/2011 Contractor RADTKE & SONS INC, EDW F Category 410 - Residential- Interior Plan Inspector Rich Wood Bathtub 1 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower 1 Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory 1 San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet 1 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 / Remodle second floor bathroom. * *check #26894 of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0204940000 Valuation $6,595.00 Plan Approval $0.00 Permit Fees $28.00 ❑ Permit Voided Issued B Date 07/28/2011 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 7L (J Date 7):051/ / Agent/Owner Address 3730 N WOODSIDE CT APPLETON WI 54913 - 7904 Telephone Number 920 - 733 -7932 To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of Inspection (Le. 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 OJHKOJH ON THE WATFR 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 1128, Oshkosh WI 54903 -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 Ifyou are a contractor participating in the Permit Fee Account System and have adequate funds. check here if you want this processed through your account Ft ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical 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 is required, will not be processed for Permit Issuance and will be returned for completion. Job Address 122 Z O TTER. 5 j Value (Including labor and materials) (Or S-tiC o a Date 7/21/11 Owner AND Li ilea T6 A/ 5 Contractor S774-2K- CoNSTR)GTI O!V ®Single Family []Duplex [}Multi- Family ['Rental ['Commercial ['Industrial Number of Fixtures: Bathtub _ Sump Pump Plaster Sink Roof Drain Shower � San. Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Sham Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Sin Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Conun Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classnn Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter 0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fain Wtr Usage Mir Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work (IEIOanoto of E1U571 ? 7 " FL 34Tht ooP Fi'x 7L't?6 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09