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Home My WebLink About2007-Plumbing (lateral) G\ OSHKOSH ON TH~WATER Job Address 332 ROSALIA ST CITY OF OSHKOSH No 123771 PLUMBING PERMIT- APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner BARBARA A KUNDE 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 L G KIENAST UTILITY 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) d to secure any necessary approvals before starting such activity. Signature ~ Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Repair 3/4" lead water service. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 3/4" Iron Lateral 1 Repair Parcelld # 0206530000 $1,100.00 Plan Approval $50.00 D Permit Voided I $0.00 Permit Fees Date 03/12/2007 Date 3J~~ ) k I Agent/Owner OSHKOSH Address 765 N WASHBURN WI 54901 - 0000 Telephone Number 920-231-0898 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 of Oshkosh Inspe()'~ion Services Division POBox 1130 Oshkosh, WI 54903-1130 ~ Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OJHKOJH 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 Ifvou are a contractor oarticipatinz in the Permit Fee Account System and have adequate funds. check here ifvou want this processed throuzh your account n Job Address ~ 3~ ~~ r ( '15:+ Value (In""",", 1300",' =reri,") 'f fa') ~ Date ~/O 7 Owner ~'Y'fAJ"h-lI'a /<'vryJe. Contractor U,,/<I.p~.f ~/~'Y ~ingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Disposal DrinkFtn Catch Basin Dishwasher Wait.St Wash Ftn Sump Pump Ice Chest Urinal Ejector/Grind Exam Sink Gar Drain Water Softner Sculry Sink Soda Disp Local Waste Hand Sink Coffee Maker Clothes Wshr F Prep Sink Cornrn. Ice Maker Bidet Serv Sink Site Drain Beer Tap Int Grease Trap Roof Drain Classrrn Sink Ext Grease Trap Standp Rec Surgeons Sink R.P.Z. Valve Eye Wash Stn Breaknn Sink Shamp Sink Wtr Sewer Mtrs Dip Well Flr/Wst Sink Deduct Meters Hose Bibs Wtr Usage Mtrs Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Use! Nature of Work ~~fJaJ r OR DElectric Installation Verification fo'rm attached (If Replacement) bt~k<{>f'\ w~kJ'- ~f2-f'U(G~ Electric Contractor Size Material Type # Conn. Type Sanitary Sewer Storm Sewer .., / It J'/'-1 ,/ Water Service n/05