HomeMy WebLinkAbout0156058-Plumbing (addn #97101) �
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/�'� CITY OF OSHKOSH No 156058 f.
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OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD `
ON THE WATER �
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Job Address 635 W 5TH AVE Owner GARY L BUNKE Create Date 06/07/2013 �
Contractor HOMEOWNER Category 410-Residential-Interior Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 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
WhiMpool _ 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 `
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures `
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Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int GreaseTrap 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 SFR/Expired permit inspection*Permit to inspect expired permited work for addition under permit 95447.
of Work
Size Material Type # Conn.Type
Storm Water
Parcel Id#
0602340000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees _ $100.00 ❑ Permit Voided I
Issued By � Date 06/07/2013
The undersigned,in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned,hereby acknowledges,per Wisconsin State Statutes,ss 145.06,that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature JL c�-..+� .��_. Date ,(' �"� 7 J
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� AgenUOwner
Address 5049 TAMARACK TRL OSHKOSH WI 54904 9722 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.
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.
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