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Home My WebLink About0123149-Plumbing (laterals) G OSHKOSH ON THE WATER Job Address 3200 WHITE TAIL LN Contractor 4 WAY CONSTRUCTION CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD No 123149 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 MIDWEST GENERAL CONTRACTORS Create Date 01/10/2007 Category 430 - Industrial-Exterior (laterals) Plan G2-209-0806-P 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 Laterals for new 6-unit multi-family. Size Material Type # Conn. Type Sanitary Sewer 6" Plastic Lateral 1 New Storm Sewer , Water Service 2" Plastic Lateral 1 New Parcel Id # Valuation $3,500.00 Plan Approval $0.00 Permit Fees $100.00 0 Permit Voided I Issued By Date 01/10/2007 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 nece sary provals before starting such activity. Signature Date t;;" ~~ / / Address P.O. BOX 133 AgenUOwner BERLIN WI 54923 - 0133 Telephone Number 920-361-1403 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 #114111 Inspection Services Division P O $ox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236 -5050 O�I ��O�I I Fax: (920) 236 -5084 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 permits) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account E Job Address J- ( lee , J Value (Including labor and materials) 2 D ate / / U C J 7 Owner Contractor �' (tea ❑Single Family ❑Duplex ❑Multi- Family ❑Rental AlCommercial ❑Industrial Number of Fixtures: Bathtub . Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet • Ejector /Grind Exam Sink Gar Drain Res. Sink Water Softner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker ❑ Gas ❑ Elect 0 PwrVnt Bidet Sery Sink Site Drain Shower Beer Tap Int Grease Trap Roof Dram Floor Drain Classrm Sink Ext Grease Trap Stand Rec Lndry Tray p Surgeons Sink RP.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shame Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer /' fc■ y Q e / / "1 C � G � Storm Sewer Water Service t 1 ` / /474-,4/ / /v 11/05 -' ~~ \d?l1'-l'1 WARD: 13 f'-- DATE: &' 1S'-t?, DHL#: LOCATION: .3~OO WA,.ff lAc ~ ~ . . n. ~. . WORK DONE: ;." Z-p P ,/f/ew 5.t?vtc,< 3 IJ u)a+-u rYIall) TAP k CUT-IN I) .f SIZE: e= CONTRACTOR: .~r .. WC1fv / INV#: QTY: PARTS: ~/I p(/.(fs S-fP/.wJ'f / ' &/l~c-.br MEASUREMENTS: /07) '$0'5. tJ(lw{Av ~ J-a.'o()r + Ta.ppit\9 r(\41..ni{lt'~ tOO.DO ve..hrc.\e... U&-L \5.DD 7' tJOF Alh.-!-< ~.'/ ~... PERMIT#: BLACKDIRT: YES @Q) CONCRETE: YES@ DETAILS: - p-ermi+ -t-F J l~ 8 7 WORKEllS: (!{ GRA VEL: REMARKS: 7Cf O'A 7 .. 41/ fe:r/5 sc..ff>I-d 6( ~r -- w7 (;"..$). (!/I(Q.. Fore.- (tt.J;,;(,v ~ cJeHt c (:6 I J) \\ \/'r:W- S lj :JLt?-' .