HomeMy WebLinkAbout0157774-Plumbing (disposal) � CITY OF OSHKOSH No 157774
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1771 BERNHEIM ST Owner FRANCISCO J/SUSAN M ZORNOSA Create Date 09/17/2013
Contractor L.C. PLUMBING INC. Category 413-Res-Interior(Replacement 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. 0
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 1 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
Fioor 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/replace disposal
of Work
I'*debit acct**
Size Material Type # Conn.Type
Sanita Sewer
ry
Storm Sewer
Water Service
Parcel Id#
1332160000
Valuation $200.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By �VY1 Date 09/17/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the Ciry 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.
Signature Date '
AgenUOwner
Address N7012 STATE ROAD 49 FREEMONT WI 54940 -8529 Telephone Number (920)867-5051
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.
PLUMBING PERMIT APPLICATION Page 1 of 2 '
Krause, Adam
From: PLUMBING PERMIT APPUCATION [Permit_App_Plumbing@ci.oshkosh.wi.us]
Sent: Tuesday, September 17, 2013 8:44 AM
To: Inspections, Inspections ;
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:9/17/2013 8:44:28 AM
Permit Fee Account �S .
System:
Job Address: 1771 Bernheim St
Owner: Sue Zornosa
Contractor: LC PLumbing Inc
Use Category: Single Family
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool• water Service Coffee :
' Softener: Sink: Mkr:
Lavatory• Standpipe Shamp Site :
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs .
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice
Chest:
Comm
Disposal: 1 Bar Sink: �lVe. Ice
Maker:
Breakrm Int .
Dishwasher: Sink• Bidet: Grease
' Trap:
Floor Classrm Ext
Drain• Sink• Urinal: Grease
' ' Trap:
Beer Eye
Hose Bibb: Exam Sink: Wash
Tap: Stn:
9/17/2013
PLUMBING PERNIIT APPLICATION Page 2 of 2
Water F Prep Sink: Dipper Deduct
Heater: Well: Meter:
Drink Wtr
Floor Sink: Fntn: Sewer
Mtr:
Clothes Wash Wtr
Wshr: Hand Sink: Fntn: Usage
Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: FiYtures:
*USE/NATURE OF WORK replace
*VALUE 200.00
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
9/17/2013