Loading...
HomeMy WebLinkAbout0104368 POSHKOSH ON THE WATER Job Address 2450 SECURITY DR Contractor HOMEOWNER Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 0 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD No 104368 Owner SCOTT D LUDWIG/KASI L KRAUSE Create Date 09/23/2003 Category 402 - Residential-Exterior (other) Plan 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature SFR/Install underground automatic sprinkler system. of Work Valuation Issued By Storm Water $2,500.00 Size Material Type # Conn. Type 0 0 0 0 0 Plan Approval $0.00 Permit Fees $20.00 L~ Permit Voided Date 09/24/2003 The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 339 P107N WESTHAVEN DR OSHKOSH WI 54904 7435 Telephone Number 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. 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 R C IVED 9 z00 O/HKO/H ON THE WATER P' .. lummng I hereby apply ~or a pe~t to do and install the following plmbing on the presses herei~r deschbed, ~e work to cnnfo~ to ~e Wiscons~ State Plumbing Code, in ~e pe~omnce of which all pa~ies hereto agree to ~d are bound by said sta~tes. · 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) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR lf you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed throuRh your account Job Address ,Q/tff-O oCt:coZaCT'~ ~. Value (ln¢ludi.gIabor and martials) ,~23-- - Date Owner ~,r-r- ~UO,.-,~z:~ Contractor 0~/~- / c- /~c- [~Single FamilyL [~Duplex U-]Multi-Family [--]Rental Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Whirlpool Disposal Dip Well Lavatory Dishwasher Drink Fm Toilet Sump Pump Wait. St- Res. Sink Bjector/Grind Ice Chest Bar Sink Water SoOner Exam Sink Water Heater Local Waste Sculry Sink ~3 Gas ~ Elect ~3 pwrVnt Clothes Wshr Hand Sink Shower Bidet ~ F Prep Sink Floor Drain Beer Tap ~ Serv Sink Lndry Troy Classrm Sink Iht Grease Trap Lab Sink Surgeon} Sink Ext Grease Trap Plaster Sink Breakrm Sink tLP.Z. Valve Sterilizer J--]Commercial ~]Industrial . . Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Sm Electric Contractor Use / Nature of Work OR Sanitary Sewer Storm Sewer Water Service Size (If Replacement) [-~Electric Installation Verification form attached Material Type # Conn. Type 7/03