HomeMy WebLinkAbout2013-Plumbing (addn to #149212) � CITY OF OSHKOSH No �5�a�s
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 822 W 4TH AVE Owner JAMES H EWING Create Date 08/27/2013
Contractor R AND R PLUMBING, LLC Category 412=Res-Interior(New/Relocated Fixtures) Plan
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Inspector Jerry Fabisch -
Bathtub 1 Clothes Wshr 1 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 1 Lndry Tray 1 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs p
Whirlpool 0 Sump Pump 1 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs p
Lavatory 2 San Sump/Pump 0 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc.
0
Toilet --
2 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
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 p
Floor Drain 1 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 1 Breakrm Sink 0 Shamp Sink _ 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 1 — — -- -
Use/Nature FR/reissuance of expired permit#149212/all work will meet state and local codes
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of Work __ - -- -
I I
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0603160000
Valuation $1,00 00 Plan Approval __ _ _$0.00 Permit Fees _ $135.00 ❑ Permit Voided
Issued By
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Date 08/29/2013
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 party, if you perform the work
described in this rmi application withi asement,the City strongly urges the permit applicant to contact the
easement hol r(s)an to secur y necessary approvals before starting such activity.
Signature � Date Z /
AgenUOwner
Address 1215 LNUT ST OSHKOSH WI 54901 -3653 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.