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Home My WebLink About0153515 - Plumbing (replace kitchen sink) CITY OF OSHKOSH No 153515 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Owner KATHLEEN A ERICK Create Date 11/13/2012 Job Address 1109 HAZEL ST -- - --- - Category 410-Residential-Interior Plan Contractor M P KELLY ---- Inspector Jerry Fabisch Deduct Meters Bathtub Clothes Wshr Classrm Sink _ Surgeons Sink Roof Drain Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Shower Lndry Tray -Prep Sink Wtr Usage Mtrs F g Whirlpool Sump Pump _ p RPZ Valve Coffee Maker Misc. Lavatory San Sump/Pump FlrIWst Sink Bidet Site Drain ry Fixtures Toilet Water Softner Hand Sink Urinal Wait.St. - - - Ice Chest Kit Sink 1 Standp Rec Lab Sink Beer Tap Comm Ice Maker Disposal - Gar Drain Plaster Sink Dip Well Dishwasher Local Waste Sculry 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/REPLACE KITCHEN SINK **check#12387 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1110160000 Valuation $1,130.23 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided i - ` Date 11/13/2012 Issued By �•"�J°W, '1(1,,.) 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. Date Signature Agent/Owner Address 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750 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. VGL. IJ. LVII IV.IVnm v a I I vi vv■ .wv.. ...v. ,v. two, ..-. . . .- City of Oshkosh Inspection Services Division pO Box 1130 ` Oshkosh,WI 54903.1130 Phone:(920)23t5-5059 61 tlR al Ill NOV 1 2 2012 sax:(920)236-5084 .a ' n t Plumbing Permit Application I hereby apply for a permit to do and install the-following p lumbing on the premises hereinafter described,the work wpm 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 result 0i5 ores addled g doubled $100.00 Services, plus the normal,Oshkosh c fee,WI which 54903-1128. Commencing work without perms(s) • ever is greater. OR eou tam :id h v ate furr'ds. cheek here 1 . ,re's c,i ra to ,art .t. ,:fin: t the Permit t ou t tits ,.r� es•ed throu:h our c+..unt ■ **Advisory-For applicable projects, an Electrical Installation'Verification(EIV)form,signed by the Electrical Contsactor or Iloxncow.ner(for installatlonsubmitted without an PTV'wYhen such is required,rwi 1 not be submitted with the permit application. Applications processed for Permit Issuan 'and will be returned for completion. c3�' i_ `E 1ue(Including labor and nwte cis) 130 `�3 atC Job Addy t 1 ivr Ot�aetr. Contractor t# "g*gle F ,,ily _Duplex •Multi-Family ❑Rental []Commercial ■Industrial Number of Fixtures: Roof Drain Sump Pump „_-_._ Plaster Sink Bathtub Sods 1)it Sam.Sump/Pemp Scullery Sink p Shower Coffee Mks Water Softener Service Sink Whirlpool Sharnp Sink Site Drain Standpipe Rec Lavatory Waitrs Sin Toilet Garage FD Surgeons Sink Local Waste Sterility „ __ Tee Chest Kit Sink Comm Ice Maker Dlsposri Bas Sink RPZVrivc Brad=Sink Bidet Int Grease Trap Dishwasher Urinal 1?xt Grease Trap Floor Drain Glassrm Sink Hose Bibb Bxam Sink Beer Tap t Wash Stn F Prep Sink Dipper Well Deduct Meter Water Neater q pas a Btcct t PwrVnt Floor Sink Drink Fnn War Sevex Mar Clothes Wshr Hand Sink Wash Ft WMir Lndry TM tab Sink Catch Basin Mists Extorts lectric Contractor(for projects not>reclui inlpn EIV Form), le/Nature of Work Wilcle --- — Size Material Type # Conn.Type Sanitary Sewer Storm Sewer ' - `I(0 Water Service V 06/09