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Home My WebLink About0123215-Plumbing (laterals) o OSHKOSH ON THE WATER Job Address 1306 CONGRESS AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner DENNIS M SPANBAUER Contractor BERNDT EXCAVATING Category 401 - Residential-Exterior (laterals) Bathtub Whirlpool lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Water Softner Wait. St. Shamp Sink Floor Drain local Waste Ice Chest FlrlWst Sink lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp No 123215 Create Date 01/18/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Relay new sanitary sewer and water laterals. Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 Relay Storm Sewer Water Service 1-1/4" Plastic Lateral 1 Relay Parcel Id # 1204990000 Valuation $1,500.00 $0.00 $100.00 D Permit Voided I Plan Approval Permit Fees Issued By Date 01/18/2007 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 hold () and to sec \ .e an~cess approvals b .uch activity. Signature if , Address 2527 W WAUKAU AVE Agent/Owner OSHKOSH WI 54904 - 0000 Telephone Number 235-3331 Date I - J p-.,,- (j 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 Inspection Services Division POBox 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~. OfHKOfH 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 VVisconsin 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 permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If vou are a contractor participatin!! in the Permit Fee Account Svstem and have adequate funds. check here if vou want this processed throu!!h your account n Job Address 1-3 c> Co . Co h,J ';;0<.:' $ S OwnerOe"1 YJ; '3 S.oqr-,b QU ~ .- , tsjSingle Family DDuplex AlR .---. <::>" ,- Value (Including labor and materials) I ~ DO \ Date / ~Jf- C) 13~Y'~Jr\ h'xC.q Clql,:...S ~r 0 r DRental DCommercial Dlndustrial Contractor DMulti-Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink . Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain lnt Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor OR DElectric Installation Verification fo'rm attached (If Replacement) Use I Nature of Work ~'\ Ja" / ~ (" Vl..>~'~ ct- Vvo.1 ('I..... ) c, T ~ .r-o. I Sizel/ Mp~~ Type Sanitary Sewer tt Sc.~yo Storm Sewer VV ater Service J ~'l fo/y ;;"OOpS I # Conn. Type 11/05