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Home My WebLink About0156038-Plumbing /�"� CITY OF OSHKOSH No 156038 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 220 N WESTFIELD ST Owner CARMEL RESIDENCE INC Create Date 06/06/2013 Contractor APPLE CREEK PLUMBING LLC Category 412-Res-Interior(New/Relocated Fi�ctures) Plan Inspector Jon Mueller Bathtub 0 Clothes Wshr 2 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 0 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures Kit Sink 2 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 Dishwasher 2 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 0 Use/Nature Remodel-add clothes washer and relocate kitchen sink. of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0611430300 Valuation $4,300.00 Plan Approval $0.00 Permit Fees $54.00 ❑ Permit Voided I Issued By b�� Date 06/06/2013 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 parry,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 AgenUOwner Address 805 E APPLE CREEK RD APPLETON WI 54913 -8368 Telephone Number 920-731-7733 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 pertormed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division � P O Box 1130 � Oshkosh,WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 O I---{KO I--+i ON THF V✓ATER � Piumbing Permit Application I hereby apply for a perrnit 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. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without pernut(s)will result in fees being doubled or$100.00 plus the nonnal pemut fee,which ever is greater. OR If vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here � if vou want this processed throug{r your account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an E1V when such is required, will not be processed for Permit Issuance and will be re ed for compledon. Job Addresso� • l,J'�s��:e��1 S�- �alue��s�b�?amaterials) OC� Date �i � � � ( � Owner Carr I �Zcs�aa.c Contractor � �u�-�- ❑Single Family ❑Duplez Multi-Family ❑Rental ❑Commercial ❑In trial Number of Fixtures: 6 � � ; �Sy"� Bathtub ` Sump Pump � Plaster Sink � Roof Drain � Shower �' San.Sump�'Pump � Scullery Sink Soda Disp � Whirlpool — Water Softener — Service Sink ' Coffee Mkr ^ Lavatory — Standpipe Rec � Shamp Sink -' Si[e Drain Toilet � Garage FD " Surgeons Sink — Waitrs Stn � Kit Sink �_ Local Waste "^ Sterilizer — Ice Chest — Disposal — Bar Sink ^ RPZ Valve ' Comm Iee blaker ' Dishwasher � Breakrm Sink — Bidet — Int Grease TraP ` Floor Drain -- Classrtn Sink — Urinal ` Ext Urease Trap — Hose Bibb —' Exam Sink — Beer Tap '— Eye Wash Stn " , �'�'ater Heater —' F Prep Sink — Dipper Well — Deduct Meter — '�Gas Li Elect L1 PwrVnt F(oor Sink — Drink Fntn Wtr Sewer Mtr Clothes Wshr I' Hand Sink —' Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink ' Catch Basin � Misc Fixtures � Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work ��r-b�e� /y��'�� C�s�}�e,s ��' a,n� Ce�oco�e k:�c�eti�� Size Materiai Type # Conn. Type Sanitary Sewer Storm Sewer Water Service �E��y