HomeMy WebLinkAbout0156925-Plumbing � CITY OF OSHKOSH No 156925
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1913 SIMPSON ST Owner CODYlfINA A ASEN Create Date 07/26/2013
Contractor HOMEOWNER Category 410-Residential-Interior Plan
Inspector
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 1 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whihpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 1 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 GreaseTrep 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/LATE PERMIT/Basement Remodel'to include Family room and full bathroom.All work shall comply with
of Work applicable codes.
Size Material Type # Conn.Type
Storm Water
- Parcel Id#
1409330000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees _ $30.00 ❑ Permit Voided �
Issued By Date 07/26/2013
The undersigned,in a plying 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 properlv licensed Master Plumber.
In the perFormanc of thjs work, I agree to perform all work pursuant to rules governing the described construction. �������
Signature � �J1 �Q�--� Date �
AgenUOwner
Address 1913 SIMPSON ST OSHKOSH WI 54902 6844 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 Ciry strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.