HomeMy WebLinkAbout0059680-Plumbing (addn to #56413) � CITY OF OSHKOSH No sssso
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER "]��j"I3
Job Address 3098 LAKE REST LN Owner KATHLEEN ROE MORTELL Create Date 07/30/1997
Contractor SAMMONS PLUMBING Category 410-Residential-Interior Plan
Inspector
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
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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 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures -
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 1 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 1 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 TRA FIXTURES TO PERMIT 56413 �
of Work I
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Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
� Parcel Id#
� 1415760000
Valuation $500.00 Plan Approval $0.00 Permit Fees $10.00 ❑ Permit Voided �
Issued By Date 08/18/1997
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
AgenUOwner
Address 0 -0000 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.
� CITY OF OSHKOSH No oosssso
�
OSH OSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3094 LAKE REST LN Owner KATHLEEN ROE MORTELL Create Date 07l30/97
Contractor SAMMONS PLUMBING Category 410-Residential-Interior Plan
Bathtub Shower EjectoNGrind Dip Well F Prep Sink Gar Drain
Whirlpooi Floor Drein Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FldWst Sink Int Grease Trap
Res.Sink Disposal 1 Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher 1 Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent.Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work XTRA FIXTURES TO PERMIT 56413
ize a eria ype onn. ype
Sanitary Sewer
Storm Sewer
Water Service
Valuation $500.00 Permit Fees $10.00
Issued By Date OS/18/97
ermi oi e
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 5711 GREEN VALLEY RD OSHKOSH WI 54901 -0000 Telephone Number 231-8635
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