HomeMy WebLinkAbout0152458 - Plumbing (back water valve) CITY OF OSHKOSH No 152458
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1722 BERNHEIM ST — Owner STEVEN M/JULIENNE M GOHDE _
_ Create Date 09/18/2012
Contractor OWNER — Category 410-Re_sidential-Interior
Plan
Inspector Jerry Fabisch — —
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain
— --- Deduct Meters
Shower Lndry Lnd Tray - _ - --
y 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 1
Kit Sink _Standp Rec Lab Sink Beer Tap _ Ice Chest
Disposal Gar Drain Plaster Sink Dip Well
P Comm Ice Maker
Dishwasher Local Waste Scully 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 back water valve —
Use/Nature SFR/installing back water valve
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1331930000
Valuation —$200.00 Plan Approval $0.00 Permit Fees
$7.00 El Permit Voided
Issued By
Date 09/18/2012
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 hold r(s)and to secure any necessary approvals before starting such activity.
Signature cL,` f' lii-e j Date ‘,//f5)/E?
Agent/Owner
Address 808 W.GRUENWALD AVE. — Oshkosh WI 54901 -0000 Telephone Number
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.