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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.:,