HomeMy WebLinkAbout0105587-PlumbingCITY OF OSHKOSH
105587
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address520 OAK STOwnerMARY P PHIPPSCreate Date04/28/2003
ContractorSOPER PLUMBINGCategoryPlan
410 - Residential-Interior
Bathtub0Shower1Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory11Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet11Clothes Wshr0Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink00Bidet0Exam Sink0Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink000Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
RPZ Valve0
Water Heater000Urinal0
Sump PumpDent. Oper.0Hand Sink
0
Eye Wash Statn
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker0
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature SFR/ Single story addition and remodel of existing house.
of Work
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service0
0
0
0
0
$0.00Permit Voided
Valuation$3,000.00Plan ApprovalPermit Fees$30.00
Issued ByDate12/04/2003
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.
Date
Signature
Agent/Owner
Address2225 BURNWOOD DROshkoshWI54902-0000Telephone Number426-2151
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.), 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 Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax: (920) 236 -5084 01HKOIH
ON THE WATER
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If 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 fl
Job Address 572 A0 6T,Ut 5 r Value (Including labor and materials) m0 Date /a `do /-4s).9
Owner ,1yi/tets Contractor .1 /2 rad .e j,/G
ASin Family ODuplex Multi- Family DRental ❑Commercial ❑Industrial
Number of Fixtures:
Bathtub Lndry Standp ____L__ Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn
Catch Basin
Toilet f Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector /Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
Gas El Elect PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Sery Sink Site Drain
Lndry Tray
Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink p
Breakrm Sink R.P.Z. Valve Eye Wash Stn
Sterilizer
Electric Contractor OR nElectric Installation Verification form attached
(If Replacement)
Use Nature of Work AQ ®iri►ko,v
Size Material Type Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
7/03