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HomeMy WebLinkAbout0123592-Plumbing e 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-'" , '-" /.....~;; I)-vi b Material J~ "IP /.7~L4) t /7~J f- :t:r.?1' Type # Conn. Type 4,#-1. /..t;,'l Use/Nature of Work /"::'-/,1/,::6 .z cex- t t'/I' Cr- ~,.-;t /.cZ"" A IA/ f /- 2Jr-- J J-{)J ~ I n/os