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Home My WebLink About0105018-Plumbing (bathroom fixtures)OSHKOSH ON THE WATER .lob Address 1015 CHERRY ST Contractor JNL PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner BRIAN A/MELISSA PIZON Category 411 - Residential-Water Heaters No 105018 Create Date 10/29/2003 Plan Bathtub 1 Shower 0 Ejector/Grind 0 DipWell 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 1 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 1 Lndry Stndp 0 CIothesWshr 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 SculrySink 0 Wash Ftn 0 RPZValve 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash 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 Duplex/Bath remodel of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # 0 0 0 0 0 0 0 Conn. Type Valuation $1,500.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 10/29/2003 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 Agent/Owner Address 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number 232-7270 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. City of Oskkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/HKO/H 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) will result in fees being doubled or $t 00.00 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 through your account [-] Job Address /0/5'- ~'~-/" / Owner [~]Single Family Valne (Including abor and materials) Contractor ,a /q-co [~uplex [-]Multi-Family [--IRentai [-1Commercial Date [~Industrial Number of Fixtures: Bathtub [ Lndry Standp Whirlpool Disposal Lavatory ~ Dishwasher Toilet ~ Sump Pump Res. Sink Ejector/Grind Bar Sink Water Softner Water Heater Local Waste 13 Gas U Elect B pwrVnt Clothes Wshr Shower Bidet Floor Drain Beer Tap Lndry Tray Classrm Sink Lab Sink Surgeons Sink Piaster Sink Breakrm Sink Sterilizer Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Water Service Dent. Oper. Shamp Sink Dip Well FlrFWst Sink Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F prep Sink Ice Maker Se'tv Sink Site Drain Iht Grease Trap Roof Drain Ext Grease Trap Standp Rec R:P.Z. Valve Eye Wash Ste Size Material Type OR [~]Electric Installation Verification form attached (If Replacement) # Conn. Type 7/03