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Home My WebLink About0123794-Plumbing (water lateral) e OSHKOSH or,h THE WATER Job Address 644 BOYD ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JASON J ZIMMERMANN Contractor FORREST PLUMBING LLC 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 ~...~ispo~~I_. . , Dishwasher' Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Category 401 - Residential-Exterior (laterals) Water Softner Local Waste Clothes Wshr Bidet A,,",."'" ,"', Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp No 123794 Create Date 03/14/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve .~.".,. ..",','r:,'.-"- c,-,.::',....._. Eye Wash Statn' Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Relay water lateral. **debit acct Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 1-1/4" Plastic Lateral 1 Relay Parcelld # 1101840000 Valuation $1,000.00 Plan Approval Issued By Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink $0.00 Permit Fees $50.00 D Permit Voided I Date 03/14/2007 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 Date Agent/Owner Address 5210 N LOOP RD , ) LARSEN WI 54947 - 0000 Telephone Number 920-836-3986 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 k4spection Services Division POBox 1130 t' J 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) win result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR I in the Permi Bee Account S stem and have ade uate unds check here our account Owner ~ \. 't.15C1VL 8Gvd / 2, '~w1't"V~~ Value (Including labor and materials) Job Address t 9'Gf Contractor / Jlut? ~Y~d?:J 7 ?;V#/1 bj' DRental DCommercial Date ]' -/3-0;> [3Single Family DDuplex DMulti-Family DIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures 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 WaitSt. 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 Electric Contractor OR DElectric Installation Verification f~rm attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 11/05