The URL can be used to link to this page

Home My WebLink About2013-Plumbing (kitchen sink & dishwasher) � CITY OF OSHKOSH No 157132 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD : ON THE WATER Job Address 360 ROSALIA ST Owner SECRETARY OF HOUSING&URBAN DEVELO Create Date 08/09/2013 Contractor RJ KAMPO PLBG Category 412-Res-Interior(New/Relocated Fixtures) Plan Inspector Jon Mueller 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 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. � Fixtures Kit Sink 1 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 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 Water Heater 0 Use/Nature SFR\Move kitch sink&dishwasher of Work Size Material Type # Conn.Type Sanitary Sewer ' Storm Sewer Water Service Parcel Id# 0203900000 Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I ' Issued By --��` Date OS/09/2013 In the performance of this work, I agree perform all work pursuant to rules governing the described construction. While the City of sh has no au ority to enforce easement restrictions of which it is not a party,if you perform the work described in thi 'perm' appli tio ithin an easement,the City strongly urges the permit applicant to contact the easement hol r(s)a d to se an tivit . Signatu Date AgenUOwner Address 1 00 WESTLAND DR APPLETON WI 54914 -8862 Telephone Number 730-9600 To sched I inspections pleas call the Inspection Request line at 236-5128 noting the Address, Pertnit Number,Type of : Inspecti (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 Iuspection Services I>>vision P O Box 1130 � Oshkosh,WI 5�',y03-1130 Phone:(920)"�36-5050 Fax:(920)2`�6-5084 �� NKO��i� �� Plumbing Permit Application �?`� �'� �� ri �nereby apply for a permit to do and install the following plutnbing on the premises l�ereinafter described,the work to conform to thc Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said s[atutz;. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1123,Oshl:osh WI 54903-1128, Commenciug work witl�out perniit(s)will result in fees being doubled or$100.00 plus tl�e normel permit fze,whic(i ever is greater. OR I,�vou are a contrcretor narticipatinQ in t12e Permit Fee Account Svstem anc� have crdeqrrate frnads checl� he�e �f vou want thts piocessed th�ough you� account n *'�Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. `lOb A(�dreSS_ ��Q ��Q �L��( Villlle(Including labor and materials) �v Date -Q 8-13 Owner Contractor �5 �� j� � .�..�-(-� �Single Family [�Duplex ❑Multi-Family [�Rental ❑Commer:.iai ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Showcr San.SumpiPump Scullcry Sink Soda Disp Whiripool Water Softener Service Sink Coffee t\;kr Lavatory Standpipe Rec 5hamp Sink Site Drain Toilet Gazage FD Surgeons Sicilc \Vaitrs Siu � Kit Sink � Loca]Waste Sterilizcr Icc Ch�st Disposal Bar Sink RPZ Valve Comm!ce A�(aker Dishwasl�cr � Breakrm Sink Bide[ Int Grease irap Floor Drain Classtm Siuk Urinal Ext Grease Trap Hose Bibb Exam Sink Becr Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Merer �Gas_;Elect 7 PwrVnt Floor Sink Drink Fntn 1Vtr Se��er i\Itr Clothes Wshr Hand Sink Lnd Tra Wash Fntn ��'h�Usage\�1tr ry Y Lab Sink Catch Basin Misc Fistures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work � �� , (��Sl��she� Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o��o�