HomeMy WebLinkAbout0116540-Plumbing
G
OSHKOSH
ON THE WATER
Job Address 401 W 33RD AVE
PLUMBING PERMIT -APPLICATION AND RECORD
CITY OF OSHKOSH
Contractor FREDERICK J DEGROOT
Bathtub 0
Whirlpool 0
Lavatory 0
Toilet 0
Res. Sink 0
Bar Sink 0
Water Heater 0
Site Drain 0
Roof Drain 0
Misc. 0
Fixtures
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
OWner SMET INVESTMENTS LLC
Category 430 -Industrial-Exterior (laterals)
0
0
0
0
0
0
0
0
0
Water Sollner
Local Waste
Clothes Wshr
0 Shamp Sink ~
0 Flr/Wst Sink 0
0 Catch Basin 0
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp 0
No
116540
0
0
0
0
0
0
0
0
0
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
F Prep Sink
Serv Sink
Create Date 09/29/2005
Plan
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
of Work
I"""""" œ '"
Sanitary Sewer
Storm Sewer
Water Service
Size
4"
Material
Plastic
Type
Lateral
# Conn. Type
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
0
0
Valuation
$50,000.00
Plan Approval
Parcelld #
1413650200
Issued By
24"
Concrete
Lateral
Date 09/29/2005
6"
Plastic
Lateral
In the performance of this work, I agree to perform all work pursuant to rules governing tI1e 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 secur any necessary approvals before starting such activity.
Signature
$0.00
$150.00 0 Permit Voided I
Permit Fees
Address N2193 BODDE RD
Date
Agent/Owner
KAUKAUNA
WI 54130 - 0000
Telephone Number 920-759-4443
!/£//ð/-
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 W ÄTER DIŠTRIBÚtlòN
WATER METER PERMIT
(please Print)
Date:J02 - :)'-o..r
"""',j"""" At ':'°1 ;.:rT J J,-d ~~
Name of Owner: ~~ e/' ,,~;:
Address of Owner: 'GlJ Ú 3 Jrd &- ~
Meter(s) Size: /-f¡;" . . .
Meter(s) Use: Check the Use(s) that apply.
Typical Ne.w Construction ð
Single Meter ~
. Typical Multi-Unit, Multiple Meter -
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. ~
~
-'ID
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---.: ........ CI:INIWœ. .....
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-'ID
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Typical Deduct Meter
.. _AIlf
--
A&LØIIIII!D
Typical Water Use Only Meter
-'ID
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--...--
r-~
.t-=.. =
I~--_V""'..
ID_....
=.. --
~TD
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--- -Illv.'<"'" VALVa
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Note:' I. A Plumbing Permit may be required prior to the installation of the issued water
meter(s). .
. 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hQme
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters~ 1-II2"requireabypass.
Meter(s) will be installed and used according to the above information.
U /J- £ 73- /ú-~r/
Print Name of Applicant and Company
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