HomeMy WebLinkAboutUntitled � CITY OF OSHKOSH ��o No �oas3s
OSHKOSH PLUMBING PERMIT -APPUCATION AND RECORD j � �'
ON THE WATER ~n a p�
Job Address 2012 DOEMEL ST Owner JOE/ROBIN HEWITT Create�te 06/25/2004
Contractor SOPER PLUMBING Category 410-Residential-Interior Plan
Bathtub 1 Shower 1 EjectodGrind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 2 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 2 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Fir/Wst Sink 0 Int Grease Trap 0
Res.Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Water Heater 0 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinal � Eye Wash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature FR/REMODEL
of Work
Size Material Type # Conn.Type
Sanitary Sewer p
0
0
0
0
Storm Sewer p
0
0
0
0
Water Service p '
0
0
� Parcel Id#
� 1514811400
Valuation $3,000.00 Plan Approval $0.00 Permit Fees $42.00 ❑ Permit Voided I
Issued By � �� Date O6/25/2004
In the performance of this work,I agree to perform all work pursuant to rules goveming 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 appiicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signatur Date ;� —�p
AgenUOwner
Address 2225 BURNWOOD DR OSHKOSH WI 54902 -0000 Telephone Number 426-2151
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.j,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.