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HomeMy WebLinkAbout0122835-Plumbing (laterals) o OSHKOSH ON THE WATER Job Address 3630 STEARNS DR Contractor ZILLGES EXCAVATING CITY OF OSHKOSH No 122835 PLUMBING PERMIT - APPLICATION AND RECORD Owner DANIEL E DOWLING Create Date 12/11/2006 Plan Category 430 - Industrial-Exterior (laterals) Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Wait. St. Shamp Sink Local Waste Ice Chest FlrlWst Sink Clothes Wshr Exam Sink Catch Basin Bidet Sculry Sink Wash Ftn Beer Tap Hand Sink Urinal Lab Sink Plaster Sink Standp Rec - Sterilizer Surgeons Sink Ice Maker Dip Well F Prep Sink Gar Drain Drink Ftn Serv Sink Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Install new 4" sanitary sewer to serve warehouse. **debit acct Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 New Storm Sewer Water Service Parcelld # 1278800000 Valuation $1,000.00 Plan Approval Issued By $0.00 $50.00 0 Permit Voided I Date 12/11/2006 Permit Fees 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 Agent/Owner OSHKOSH WI 54904 - 0000 Telephone Number 376-1005 Address 1800 FOUNTAIN AVE Date To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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 0: Phone: (920) 236-5050 '., ' Fax: (920) 236-5084 ~ OfHKOfH 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 participatinf! in the Permit Fee Account System and have adequate funds. check here if yOU want this processed through your account I)i] 3ro30 Job Address ~ ~fAJS Owner D<A..t.J lJow//~ DSingle Family DDuplex or. ,. ~ Value (Including labor and materials) /000 Date 12./III~ , Contractor Z,'/It:p..'5 It.. 4k,/fIlt,(~. DMulti-Family DRental [Z]Commercial DIndustrial Number of Fixtures: f'\ Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink DrinkFtn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FlrfWst Sink Deduct Meters Wtr Usage Mtrs Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Surgeons Sink Breakrm Sink Dip Well Hose Bibs OR . DElectric Installation Verification form attached (If Replacement) Electric Contractor Use I Nature of Work S4~:\-~r\f 56,C."c.l'" 14krC4t Size 4" Material sd~, 10. Type PV~ # Conn. Type / I wpe I ~ ~41,.) I Water Service nlos