HomeMy WebLinkAbout0152432 - Plumbing (toilet) CITY OF OSHKOSH
OSHKOSH No 152432
ON THE WATER PLUMBING PERMIT -APPLICATION AND RECORD
Job Address 300 302 STATE ST _ Owner KIECKHAFER REV TRUST H A/P D
Contractor SAMMONS PLUMBING Create Date 09/17/2012
— -- _ Category 442-Commercial-Interior(New/Relocated Fixti Plan
Inspector Jerry Fabisch
Bathtub - _Clothes Wshr Classrm Sink
Shower Surgeons Sink Roof Drain
Lndry Tray _ Exam Sink Deduct Meters
Whirlpool Sump Pump Sterilizer Soda Disp Wtr Sewer Mtrs
p p _ F Prep Sink _ RPZ Valve
Lavatory San Sump/Pump FIr/Wst Sink Coffee Maker Wtr Usage Mtrs
Toilet Bidet Site Drain ---
1 Water Softner Hand Sink Misc.
Kit Sink Standp Rec _—__ Urinal _ Wait.St. Fixtures
_ Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink
Dishwasher __
Lo Dip Well Comm Ice Maker
Local Waste Sculry Sink Drink Ftn
Floor Drain Bar Sink — Int Grease Trap
Sery Sink __ Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Sham Sink --
Water Heater p Catch Basin Eye Wash Statn
Use/Nature tOMM(302 STATE ST)/INSTALL TOILET "*debit acct
of Work
Size Material --- ---
Sanitary Sewer Type # Conn.Type
Storm Sewer
Water Service
Parcel Id#
Valuation $450.00 Plan A 0200640000
pproval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By �i�
Date 09/17/2012
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 522 W. MURDOCK AVE — OSHKOSH WI 54901 -2298 Telephone Number (920)231-9880
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type
Inspection(i.e. Footing, Service, Final, etc.),Access into Building if Secure(how do we gain entry), YP of
Number. Unless specified otherwise,we will assume the project is ready at the time the request is�received. Work may
ne
continue if the inspection is not performed within two business days from the time the project is ready.