HomeMy WebLinkAbout0123592-Plumbing
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OSHKOSH
t
ON THE WATER
Job Address 495 PEARL AVE
CITY OF OSHKOSH
No
123592
PLUMBING PERMIT - APPLICATION AND RECORD
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 PETER JUNGBACHER Create Date 02/21/2007
Category 430 - Industrial-Exterior (laterals) Plan Y1-238-0207-P
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin 5 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 BADGER EXCAVATING LLC
Exterior/Interior utilities for 50 unit apartment. 2 storm laterals serving exterior, 2 storm laterals serving interior, 1 sanitary sewer, 1 water
ateral and 5 exterior storm inlets.
Size Material Type # Conn. Type
Sanitary Sewer 8" Plastic Lateral 1 New
Storm Sewer 12" Concrete Lateral 1 New
15" Concrete Lateral 1 New
6" Plastic Lateral 1 New
8" Plastic Lateral 1 New
Water Service 6" Iron Lateral 1 New
Parcelld #
0102430000
$30,000.00
Plan Approval
$0.00
Permit Fees
$335.00 D Permit Voided I
Valuation
Issued By
Date 02/22/2007
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 necessary approvals before starting such activity.
Signature
/~ 0----
Date "Z - c.... ~ ~ 0' 7
Address POBOX 584
Agent/Owner
GREEN LAKE
WI 54941 - 0000 Telephone Number 920-294-6212
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.
City (:if Oshkosh
Inspection Services Division
P.O Box 1130
,
Oshkosh, WI 54903-1130
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
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 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 participating in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this processed through vour account n
Job Address
Owner fil.?f'
DSingle Family
1'1) /;Je~1 ,4lr<--
, j'br1 t4~~if Contractor
J
DDuplex DMulti-Family
Value (Including labor and materials) :1 d ~
Date..2 -d-l" d7
DIndustrial
Number of Fixtures:
Plaster Sink
Sterilizer
Misc.
Fixtures
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin L
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
Int 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
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
Lndry Tray
Lab Sink
Electric Contractor
OR
DElectric Installation Verification fo'rm attached
(If Replacement)
Sanitary Sewer
/.... b ., ;JilL"
Storm Sewer
( " ~"- / II L-
Water Service
Size
g-'"
, '-"
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b
Material
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Type # Conn. Type
4,#-1. /..t;,'l
Use/Nature of Work /"::'-/,1/,::6 .z
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