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HomeMy WebLinkAbout0151822 - Plumbing (kirchen remodel) CITY OF OSHKOSH No 151822 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Create Date 08/20/2012 Job Address 3109 BELLFIELD DR Owner STEVEN J/MARY E PENTONY Contractor WOLF&SONS PLUMBING LLC. Category 412-Res-Interior(New/Relocated Fixtures) Plan Inspector Jerry Fabisch — Deduct Meters Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct ct Meters Mtrs Exam Sink Sterilizer Soda Disp Wtr Shower Lndry Tray Sink RPZ Valve Coffee Maker Wtr Usage Mtrs F Prep Sin Whirlpool Sump Pump Site Drain Misc. Lavatory San Sump/Pump FlrryllstSink Bidet Fixtures Toilet Water Softner Hand Sink Urinal Wait.St. Beer Tap Ice Chest Kit Sink 1 Standp Rec Lab Sink Comm Ice Maker Disposal Gar Drain Plaster Sink Dip Well ry Scul Sink Drink Ftn Int Grease Trap Dishwasher 1 Local Waste Wash Ftn Ext Grease Trap Floor Drain Bar Sink Sery Sink Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use/Nature SFR\Kitchen remodel of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1381030000 $0.00 Permit Fees $25.00 El Voided Valuation $1,200.00 Plan Approval Date 08/20/2012 Issued By A A — 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 with' 'an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to cure a necessary approvals before starting such activity. Cr 2...0 Z Date Signature Agent/Owner Address 130 W.FRANKLIN AVE. UNIT#741 NEENAH WI 54957 -5031 Telephone Number 920-379-9772 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type eo of Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Name 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 Box 1130 Oshkosh,kosh,WI 54903-1130 #114 Phone: (920)236-5050 Fax: (920)236-5084 O.HKOJH ON THE 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 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 If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account Ti **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 /C7 Ale//f:t /d Value (Including labor and materials)JP 3.■ v 4' Date d' .a v''L Owner Contractor uc//` . -�, /47/� ..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 Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink / Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher / Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter ❑Gas❑Elect❑PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use I Nature of Work _0,1/i4// ,-te ,e fr,CG, 5-,.,?/ „.( 224../ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09