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HomeMy WebLinkAbout0122878-Plumbing e OSHKOSH ON THE WATER Job Address 500 W NEVADA AVE Contractor MR ROOTER OF THE FOX VALLEY PLUMBING PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH No 122878 Owner MICHAEL RlS J EATON Create Date 12/13/2006 Plan Category 401 - Residential-Exterior (laterals) Bathtub Shower Water Softner Wait. St. Shamp Sink Whirlpool Floor Drain local Waste Ice Chest FlrlWst Sink Lavatory lndry Tray Clothes Wshr Exam Sink Catch Basin Toilet Disposal Bidet Sculry Sink Wash Ftn Res~ Sink Dishwasher Beer Tap Hand Sink Urinal Bar Sink Sump Pump . lab Sink Plaster Sink Standp Rec Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures 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, repairing interior building drain. A solid, watertight connection shall be made at the point were ~xisting lateral and sleeve meet. ""debit acct . Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 Relay Storm Sewer . Water Service Parcelld # 1209030000 Use/Nature of Work Valuation $2,500.00 $0.00 $50.00 0 Permit Voided I Permit Fees Plan Approval Issued By 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 Address PO BOX 3063 Agent/Owner APPLETON WI 54914 - 0000 Telephone Number 920-687-9178 Date 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. ~ 12/13/2006 12:07 (;ity of Oshkosh IDspection Services Division PO Box 1130 . . r\ Oshkosh. WI 54903-1130 Phone: (920) 236..0$050 Fax: (920) 236-5084 '320687'3407 MR ROOTER PAGE 01 ~. 0{fKJ]R Plumbing Permit Application I he(eby apply for a pm:mit to do and insmll1hc follow:in& plUDJbing OIl the ~ berciDaftcr desQ::ibed, ~'work to coofuUQ to the Wisconsin State Plnmhixlg ~ in the perfutroaDCC ofwhich aU patties bemto ~ to and arc bouIld by said Statutes. · Application(s) and fee(s) can be brought to City Hall~ Room 205 or J1l8.iled to Inspection Services. PO Box 1128. Oshkosh WI 54903-1128. Commencing work without pennit(s) wiD result in fees being doubled or $100.00 plus the normal permit feet which ever is greater. . Ok i . Job Add~essSO[) .U), AJelttd Q,. Owner M l ~ ~+o "" ~Single FamBy' ,[]Duplex, .v slne (Jnd\ld~lab~und matl!rOOs) ~ S CO ~ ';. .' Date I(} J> 1- ,J g H~ et'Y\TEeJ./'''P~~.uwlh{~. DMulti-FamUy . [JRenW OCommW:tat []IDdu8tr.i"~~' ~.~ ~~: . :, ' . Contractor . f' Number of FIxtUres: . ! :.~, \; .i'~: ~, 1"'... ~'l t ~::.: i~ r: ,S: BatbNb WhiIWOol LaYllloty Toilcl Res.. Sink: BlIl' Sink Water Healet D au [] eJect D PwrVnt Shower Ploor Dram ~ Oi$bwasber Sump f'uJJJp / Iijccton'Grind Water Sonner Local Waste Clothes Wshr 8i6et Beer Tap CIu=m SlDk SW'J'COIlS Sink Bn:abm Sink Dip WdJ Hose Bibs Drmlr Fill Wait. St. Jl:e 0Icrt ExBm Sink: SeuJry Sink Band Sink f I'rcp Sink Serv Sink 1m. Gt-..1"rIIp Ext Gf1:ase Trap R.P:z.. Yams ~Sink PlrlWst Sink .. .Caldl Basin . Wash Ptn Urinal Gar Drain . Sodll Oisp Co8'ee Mllccr Comm. Ice Malta- Sil6 Drain RoclfDndn SUrIldJ> Rec ~ Wasil 8m Wtr Sewer MIm bcduct Meters WIr lJsagJ: MlrJ I..ndry Tray Lab Sink PIllStEl' Sink SllIriliwlt- Misc. :Fixtures Electric: Contractor -DR OEJectrk Installation Verification fonn attached (IfRepJacement) Use/NatureofWork-5JeeVe +0 ~J ~1..fL-(J-t~. S~ Size Material Type # Conn. Type Sanitary Sewer 'Stonn Sewer Water Service '-. $ n In.:,