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Home My WebLink About0106578-Plumbing (lateral) CITY OF OSHKOSH 106578 No OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address213 IDA AVEOwnerTRACY L OWENSCreate Date02/23/2004 ContractorM P KELLYCategoryPlan 401 - Residential-Exterior (laterals) Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0 Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00 Soda Disp Lavatory00Local Waste0Wait. St.0Shamp Sink00 Lndry TrayCoffee Maker Toilet00Clothes 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 / Rental Replace water service. of Work SizeMaterialType#Conn. Type Sanitary Sewer0 0 0 0 0 Storm Sewer0 0 0 0 0 Water Service3/4"CopperLateral1Repair 0 0 0 Parcel Id # 0 0703640000 $0.00Permit Voided Valuation$1,908.00Plan ApprovalPermit Fees$50.00 Issued ByDate02/24/2004 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 Address665 N MAIN STOSHKOSHWI54901-4431Telephone Number231-1750 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 POBox 1130 Oshkosh, WI 54903- 1130 Phone: (920) 236-5050 Fax: (920)236-5084 RECEI .E ~ ..X:" .~ rnbKOJH ON THE W^TER FEB 2 0 2004 DEPARTMENT OF COMMUNITY DEVELOPMENT Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to coru6Im to the Wisconsin State Plumbing Code, in the perfortnince of which all parties hereto agree to and are bound by said statutes. . Application( s) and fee( s) can bebfought to CitY Hall, Room 205 or mailed to Inspection Setviees,PO.lloXl128, Oshkosh.\VI. 54903*1128~Sorrnnencing work without permit(s}willresult in fees being doubled or $100.00 plus the ..__....norrnalpennitfe~.,.:Whic.h_ey~rjs. greater.. OR"",,,.,...,.. . If vou are a contractor particiDatinf! in the Permit Fee Account Svstem and have adeoaat~funds.Hcheck here if vou want this processed through vour account n . Job Address c2 IS M ~ Value (IncIUdinglabOrandrnaterialsL/2kJ ?~OQ.", Date~ -j 7 '-p' Y Owner IltPte.J..1 O(~ Contractor /If,/! If/;/Iy, #/~, DSingle Family DI>uplex ..... DMulti-Family ~ntal DCommercial OIndustrial Bathtub Whirlpool Lavatory Toilet Res. Sink BarSirik Wa.ter Heater o Gas 0 Elect 0 PwrVnt '.-~' :-::-:~ Ln~ry., Standp Disposal DishWasher Sump Pump Ejector/Grind Wa.ter Softner Local Waste Clothes Wshr Bidet. Beer Tap Classrm Sink Surgeons Sink Breaknn Sink Det1t. Op.er. ". pip W.!lll " DrinkFtn Wait. Sl Ice Chest Exam Sink Sculry Sink Hand Sink F.Prep Sink Serv Sink Int Grease Trap Ext Grease Trap NumberofFixtures~ Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer . Wash Ftn Urinal Gar Drain . ,<, Soda Disp Coflee Maker __.~cC:c,Maker .'''_':'')_ ___ . Site Drain Roof Drain Standp Rec Electric Contractor Vse I Natnre of Work ~J.~j)~ OR DElectric Installation Verification form attached (If Replacement). W~,'~, Size Material Type # COllIl. TyPe t. 1/ ~j Sanitary Sewer' . Storm Sewer Water Service " - 3/02