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Home My WebLink About0122946-Plumbing e CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 108 W LINWOOD AVE No 122946 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 Owner SHIRLEY M PAULSEN Create Date 12/19/2006 Category 401 - Residential-Exterior (laterals) Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ Valve Beer Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Contractor MR ROOTER OF THE FOX VALLEY Relay 4" plastic sewer up to right-of-way. Connect to 6" clay tile at R.O.W. **debit acct Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 Relay Storm Sewer Water Service PCjrcel Id # 1516620000 Valuation $3,000.00 Plan Approval $0.00 Permit Fees $50.00 D Permit Voided I Issued By Date 12/19/2006 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 Address PO BOX 3063 Agent/Owner APPLETON 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 (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. ~ · 12/18/2006 .13:08 Gity of Oshkosh Inspection Services Division POBox 1130 r 0sbk0Bh. WI 54903-1130 PboQe: (920) 236-5050 Fax: (920) 236-5084 '328587'3487 MR ROOTER PAGE en r/r-t)1J ,0'. fY\' }- Y ~. ~9JR Plumbing Permit Application I heteby apply for a permit to do aDd iDstall the following phunbiDg on the premises hereinafter described.1be 'WOrk; to coofuan u. the Wisconsin State plumbixtg Code. in tho perfintumce of'Whicb. all parties hereto agmc to and are 'bound by &aid slaloms. · Applioation(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 worlc without perm:it(s) wtl1:result in fees being doubled or $100.00 plus the . normal permit ~ whichever is greater. .. OR f~:;; ~~ t~~:::~.:r:~;~,:-:.~< ~:c~:;r'#;f" Acc.." System gotlbg,,", .~.....u r.~tlq!Jl(;J; &~r'. . Job 1\dd~_ ) OY.(.J L,,, kJ"..j A.,value ~....;......_...;! ~ 0 ' : " Date~ Owner Sb w I~ r=.zu ( ~ . COIl tractor . rttl... ~r>Tf01Z- ~ I ~"'- {,''5 . ,~_. ',.q ~iJlgle Family" . DDuptex DMulti-FamiIy . ORental. Dcomin~cw..:, [Jiu(lustri.....;-,~:;.:, ' (""', Number of FixtUres: .8adItub. _ Wh~1 _ Lavatory Toilet Res. Sink Bit Sink: Water Hcak:i" [] GlIB [] E1.eGt 0 PwrVnt SIJowa' Floor Dnin I..ruhy 'traY. Lab Sink PIaIltel' Slllk Sltritizar Mise. FWllI1l& Dhlpoal : Dl.shwubllr SUll'lp ~ Ejt:ctorlGliftd W.~ SotlDt:I" Locst Wastl$ Clothes Wabr BiOOt Bcc:r Tlrp ChimmSlnk S~Siak BmtJcnn Sink Dip WeJl H.UR Bibs " d~ :'; ~. :~-.... p.t :~.:: ~ : ~~ r ~ :;- Drink Ftn Walt. Sr. Ice Chest. &un Sink ScuIJy Sjnk HuId Sil1lc FPrep Sink Serv S'mk Jnt~ Ttap &t Grease Ttap R.P.z. Valve S~ Sink PldWst Sink . .:: ,Catch Bulin :Wash PIn :urmaI Gar DnUn Soda Disp Coffee Maker Coavn. lee M..b:r Sile ~ Roof Drain Slanlfp ReI: Eye WlISh Sin Wb-ScrM.lr MIB Deduct MeIIers wtr Usage Mtrs Electric Contractor Use I Naron of Work Saninuy Sewer Stann Sewer Water Service :5'1 eg. V eSecV~ Sip: .4 Matcria..l Co?*- s+ Tyt)$ OD:. []Electric Installation VerIflcatiOD fonn attached {If Replacemcnt) # CODD. Type '- .@ "/nr:.