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Home My WebLink About0153177 - Plumbing (remodel bathroom) CITY OF OSHKOSH No 153177 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1327 GRAND ST Owner PAUL W/TRACY L ANDERSON Create Date 09/27/2012 Contractor AHERN-GROSS INC. Category 413-Res-Interior(Replacement Fixtures) Plan Inspector Jerry Fabisch Bathtub 1 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray 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 Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well 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 Use/Nature SFR/Remodeling the bathroom to include the installation of a tub and wall surround, replace faucet **check#2137 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1506320000 Valuation $300.00` Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By� O(,f._J, Date 10/25/2012 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 218 S MAIN ST FOND DU LAC WI 54935 -4908 Telephone Number 920-921-1414 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. City of Oshkosh Inspection Services Division P O Box 1130 0- Oshkosh,WI 54903-1130 o�oKo1H Phone:(920)236-5050 Fax:(920)236-5084 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. Job Address t3Z1 6 roAci 5+. Value (Including labor and materials) $ 3oo.ov Date Io -13- tel' Owner c'l Al Ali de.rso•l Contractor 11I,crA.Gruc5 Tnc• [ptingle Family Duplex ❑Multi-Family DRental ['Commercial ❑Industrial Number of Fixtures: Sterilizer Breaknn Bathtub I Ster Sink __ - --- ----- Shamp Sink --�---- Lndry Standp Dent.()per. ----- Whirlpool — FIrlWst Sink _._-- Disposal Dip Well —_--___._ Lavatory -- Catch Basin Dishwasher Drink Fin —__ Toilet Wash Fin -- Snmp Pump Wait.St. Res.Sink -- Urinal ---- Ejector/Grind Ice Chest Urinal Sink _ Gar Drain Water Soilner Exam Sink --.-- Water Heater — Soda Disp U Gas U Electric U Power Vent Local Waste ____ Sculry Sink Shower _-- Clothes Wshr __— I land Sink . Coffee Maker Floor Drain Bidet --- F Prep Sink Ice Maker - Lndry Tray Beer Tap _ Sery Sink Site Drain Lab Sink Classrm Sink Int Grease Trap ____ Roof Drain Plaster Sink Surgeons Sink _— Ext Grease Trap Standp Rec Electric Contractor OR C EIV form attached (If Replacement) Use/Nature of Work Fai.iaG4- 12 e 1c.c.eWI eA Size Material Type II Conn.Type Sanitary Sewer Storm Sewer Water Service _--------- — • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh 54903-1128. Commencing work without permits) will result in fees being doubled or$100.00 plus the normal permit fee, which ever is greater. OR Check here if you want this processed through your account