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HomeMy WebLinkAbout0122880-Plumbing (sewer lateral) o OSHKOSH ON THE WATER Job Address 838 BOWEN ST Contractor MR ROOTER OF THE FOX VALLEY CITY OF OSHKOSH No 122880 PLUMBING PERMIT - APPLICATION AND RECORD Owner RICHARD E PAGEL LIVING TRUST Create Date 12/13/2006 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 Category 401 - Residential-Exterior (laterals) Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Sleeve existing sanitary sewer to right of way. A solid, watertight connection shall be made where the existing lateral and sleeve meet. **debit acet Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 Relay Storm Sewer Water Service Parcelld # . 1106550000 Valuation $2,500.00 Plan Approval Issued By n'n ~():OO Permit Fees $50.00 0 Permit Voided I Date 12/13/2006 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 PO BOX 3063 no ,ll,F>PLETON WI 54914 - 0000 Telephone Number 920-687-9178 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. ~ 12/13/2006 12:14 ~ City of Oshkosh -=- Inspection Services Division P 0 nox 1130 (' Oshkosh, WI 54903.1130 .. , PhoDe~ (920) 236-5050 Fu: (920) 236--5084 '320687'3407 MR ROOTER PAGE 01 ce. ~Q(8 Plumbing Pennit Application I heteby apply for a permit to do andiostaU the foUowing plumbing em the pa;mises hereinaftr:r deacribed, ~ ~ to ~ to the Wiscousin Slate PluInbibg ~ in the pcdn..IUitOCe ofwhich aU"puties hereto agree toamd lie bound by Aid Sfafutea. · Application(s) and fee(s) can be brought toCityHa1I, Room 205 or mailed to InspeCtion Services, PO Box 1118, Oshkosh WI 54903-1128. Commencing work: without pcnnit(s) will result in fees being doubled or $100.00 plus the . normal permit fee, which ever is greater. OR ~::: '::all.: ~~:tract:; ~arti;il1ati7l:C ~ tll~ P:;1IJi~el!. Acc~unt System and./lave: ~de(1uate Funds. clleck lH:r~. 11 t Droc; d ill. Duell () ~ a co t . _'0: .... . . --:'JobAddress ~S<6 Bow~ 'VaIDe(lnd~tla~mhna8!rials} ?5\lY)~c).:...' :'Date l/fJ IC7 . Owner 12l~ Pa~i1~ Contractor KtL lZotYTEe. RA,iA.~~.h,'':j ~Single Family' . Onuplex-. DMultl~Famlly.: [JReutal DComm~[claJ.' ~. [JI1id.ustri,r: ;'J~:: . ~, .' r", Number of FIxtUres: . .8atbrub ~irfpOoI Lavatory ~;':,~.~-:' :\f :..< ~.;i~'r:;;~ T oilc' Res. Sink Disposal . DishWlliMr Sump~ r::.teclDdGrind Wa_ Sotblcr Load WlI$te CIotlu:I WJbr Bidet Bca!r Tap Clusrm SiDle &qeons Siuk 8reaknn Sink Dip Woll Hose Bib/: DrInk Ftn Wait.St. Ice Chest Exam Sink Scuby Sink lland Sink F Pn:p SQ.1c: ~Sink lilt ar- inp Bxc Greue Tmp 1t..P.z. VIM S~ Sink FlrlWlIlt Sink . .:; '. CalI:h Basin . Wadi PIn UtilUll a.r Drain ~ Bar Sh\k WatGr Healer o GlIS 0 IiICct 0 I'wrVnt Shower Floor ~n Lncky Tray' ):..ab Sink Plaslcr Sink Su:riIi2er .SodI I>iBp Coffee Mabt Cormn. lee Maker Site DrAin RoofDraln s~&c Bye Wash SI1'l Wtr~ MU'5 Deduct Meters Wtr Usage Mtrs Misc. FilltUtc$ Eledric Contractor QB. []Electric InstaUatiOD Verification form attached (If Replacement) S+r.ed- Use/Nature of Work ~/e~ ~ f?Jl. .-fz> Size Material Type # CoDD. Type Sanitary Sewer Storm Sewer Water Service '- @ 1'/0"