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Home My WebLink About0123768-Plumbing (cap laterals for raze) ~..:'~ ~ OSHKOSH ON THE WATER Job Address 1713 ASHLAND ST CITY OF OSHKOSH No 123768 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner KELLY J BURNETT Create Date 03/12/2007 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 COATS, KEITH Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature ~bandon sanitary sewer and water lateral. of Work Valuation Issued By Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1504400000 $400.00 $0.00 $25.00 D Permit Voided I Plan Approval Permit Fees Date 03/12/2007 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) nd to secu e a~necess~rovals before starting such activity. Signature ~~ Agent/Owner Date 3-/,l-P7 Address 8424 SHIRLEY CT WINNECONNE WI 54986 - 9533 Telephone Number 920-582-3975 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. " '_'~'...l- City of Oshkosh Engineering Dept. Street Location of Sanitary - Storm - Water Laterals 1713 Ashland St !K:}.bandonment D New Installation 3/12/07 KEITH COATS ~ Material Size Depth Location Sanitary iron 4" 4.5' 11' South of North Storm Water copper 3/4" 4.5' 11' South of North Property File Copy City of Oshkosh Inspection Services Division P 6 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 $lOO.OOplus the normal permit fee, which ever is greater. OR If you are a contractor participatinfl in the Permit Fee Account System and have adequate funds. check here if yOU want this processed throuflh vour account n DDuplex :7 Value (Including labor and materials) 11J~ ./lJ Contractor ;fi.., ~ ~ /?' 7:S DMulti-Family DRental DCommercial DIndustrial na0,{- &7 Job Address J 7/ J /.f<;,4M/1/tP Owner ~gle Family Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater Clothes Wshr o Gas 0 Elect 0 PwrVnt Bidet Shower Beer Tap Floor Drain Classrrn Sink Lndry Tray Surgeons Sink Lab Sink Breaknn Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Electric Contractor OR Use / Nature of Work C-Ar 5L::~/~/( DrinkFtn 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 Int Grease Trap Roof Drain Ext Grease Trap Standp Rec RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs FlrlWst Sink Deduct Meters Wtr Usage Mtrs DElectric Installation Verification f~rm attached (If Replacement) 0/ &t./J1T~-/e Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 1.1/05