HomeMy WebLinkAbout0158623-Plumbing (lav & tub) � CITY OF OSHKOSH No 158623
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER :
Job Address 1227 WISCONSIN ST Owner BETHLEHEM LUTH CHURCH Create Date 11/05/2013
Contractor SAMMONS PLUMBING _ Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jon Mueller
Bathtub 1 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 1 San Sump/Pump 0 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. p 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 Scuiry 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 _ 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR/ er p acel tub and lav - - �
of Work
*'debit acct"*
� I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1203220000
Valuation $2,400.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By J1.a,-.
Date 11/05/2013
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 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 522 W. MURDOCK AVE OSHKOSH WI 54901 -2298 Telephone Number (920)231-9880 :
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.