HomeMy WebLinkAbout0152764 - Plumbing (install toilet) CITY OF OSHKOSH
OSHKOSH No 152764
PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 934 STARBOARD CT Owner JAMES/ELIZABETH L HOFFMAN
Contractor SAMMONS PLUMBING Create Date 10/04/2012
Category 410-Residential-Interior
Inspector Jerry Fabisch Plan
Bathtub Clothes Wshr Classrm Sink
Bathtub
Surgeons Sink Roof Drain
Lndry Tray Exam Sink Deduct Meters
Whirlpool r - — Sterilizer _Soda Disp Wtr Sewer Mtrs
Sump Pump F Prep Sink RPZ Valve
Lavatory San Sump/Pump Coffee Maker Misc.
Usage Mtrs
P p Flr/Wst Sink Bidet
Site Drain - --
Toilet ---
1 Water Softner Hand Sink Fixtures
u.
Kit Sink _-_-- Urinal Wait.St. Fixtures --
Standp Rec Lab Sink
Disposal Beer Tap Ice Chest
p Gar Drain Plaster Sink - --
Dishwasher --- -__ _ 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
Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use/Nature �SFR/INSTALL TOILET **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
Valuation $400.00 Plan A 1523300000
pproval - $0.00 Permit Fees
Issued By 5-rn $25.00 ❑ Permit Voided
Date 10/04/2012
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
-- p (920)231-9880
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.