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Home My WebLink About0156958-Plumbing � CITY OF OSHKOSH No 156958 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 731 JACKSON ST Owner MAXIMILAN C LAUMANN Create Date 07/30/2013 Contractor M P KELLY Category 412-Res-Interior(New/Relocated Fixtures) Plan Inspector Jerry Fabisch 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 p Misc. p Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p : 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 Grease Trap 0 Floor Drein 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 1 Use/Nature SFR/interior plumbing associated with the correction of code violations of Work I : � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcet Id# 0500280000 Valuation $3,000.00 Plan Approvai $0.00 Permit Fees $30.00 ❑ Permit Voided j . r.,' Issued By �►� 'Q'�. Date 07/30/2013 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 permit application ithin an easement,the City strongly urges the permit applicant to contact the easement holder s to s cure necessary approvals before starting such activity. Signature _J�i%��.� Date 7-30-/3 7-'- ' AgenUOwner Address 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750 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. � . �'. II��L�Y', � IVl.�. CityofOshkosh 665 N. MAIN STREET Inspection Services Division 0 S H K 0 S H, W I S C. 5 4901 � P O Box 1130 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 � �� Fax:(920)236-5084 ON THF WATFR � Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without permit(s)wiil result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. : OR If vou are a contractor participating in the Permit Fee Account Svstem and have adeguate�unds check here ifvou want this nrocessed throughYour account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contractar or Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted with the permit application. Applications submitted withont an EIV when such is required,will not be processed for Permit Issuance and will be returned for completion. Job Address /`�/ t/ ''L�-! SP�J/ V RIllC(Including labor and materials) V(J��l/ '� DAtQ 7�(/ /3 Owner � Contractor /x- �� -� ❑Single Family ❑Duplez ❑MuIN-Family ❑Rental Com ercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain : Shower San.Sump/Pump Scullery Sink Soda Disp Whiripool Watcr Softeuer Service Sink Coffee Mkr I.avatory Standpipe Rec Shamp Sink Site Drain Toilet Gazage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Baz Sink RPZ Valve Comm[ce Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Lhain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater _� F Prep Sink Dipper Well Deduct Meter ❑Gas Cl Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand 5ink Wash Fnm Wtr Usage Mtr ��'Y T�Y Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) • Use/Nature of Work �-/�-c.�.L,�,C-- �Q�-�� i" ('�iW V� -�2-��G� Size Material Type # Conn.Type Sanitary Sewer Storm Sewer �� Water Service 06/09