HomeMy WebLinkAbout2013-Plumbing (addn to #145752) � CITY OF OSHKOSH No 156559
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 333 ROSALIA ST Owner MICHAEL J/SHERYL M DREIKOSEN Create Date 07/05/2013
Contractor HOMEOWNER Category 412-Res-Interior(New/Relocated Fi�ures) Plan
Inspector Adam Krause
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
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
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 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 Eut 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\Continuation of previous permit#145752
of Work
�
Size Material Type # Conn.Type
Storm Water
— Parcel Id#
0205150000
Valuation $400.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By �� Date 07/05/2013
The undersigned,in applying for a plumbing pertnit 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 proqerlv licensed Master Piumber.
In the perform�nce of is w rk, I gree to perform all work pursuant to rules goveming the described construction.
Signature �� Date � � ��
AgenUOwner
Address W827 BADGER RD LOMIRA WI 53048 9760 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.