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HomeMy WebLinkAbout0123869-Plumbing (laterals) e 6SHKOSH ON THE WATER Job Address 1829 SHERIDAN ST CITY OF OSHKOSH No 123869 PLUMBING PERMIT - APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature NSFRI Laterals of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner SHOWCASE CUSTOM HOMES INC Create Date 03/21/2007 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 FREUND EXCAVATING Size Material Plastic Type Lateral # Conn. Type New Sanitary Sewer 4" Storm Sewer Water Service 1-1/4" Plastic Lateral New Parcel Id # 1217080000 Valuation $3,500.00 Plan Approval $0.00 Permit Fees $100.00 D Permit Voided I Issued By Date 03/21/2001 In the performance of this work, I agree to perform all work pursuant to rules governing the describ~d 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 p mit application within an easement, the City strongly urges the permit applicant to contact the easement holder( and to sec n cessary ap vals before starting such activity. Date '8 w;l J -~ 7 Signature Address 3135 DELHI RD Agent/Owner OMRO WI 54963 - 0000 Telephone Number 920-685-2196 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 " Inspection Services Division POBox 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 pl:umbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance ofwmch 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. Conimencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor oarticipatinf! in the Permit Fee Account System and have adequate funds. check here if you want this processed throuf!h your account n Job Address I~;'~ 'OlM). s,.- Owner 6~lfrtlJ InfTtlt/sE"1( ~Single Family DDuplex Value (Including labor and materialS)" 35tft). fit) Date .3 - .:l./-o 7 FA CIiIJ/l-r/A/G Contractor P~UIVIJ DRental DCommercial DIndustrial DMulti-Family 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 DrinkFtn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar !;)rain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Carom. 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 FlrfWst Sink Deduct Meters Wtr Usage Mtrs Surgeons Sink Breakrm Sink Dip Well Hose Bibs DElectric Installation Verification form attached (If Replacement) Use/NatureofWorkN'fftv' SAIIJ/11J~r ~e4Jbi t WI/TEl< Electric Contractor OR Size Material Type # Conn. Type Sanitary Sewer 'I'I fJJf5nc. 4;4feRif'- I Storm Sewer Water Service . " p C- LIfTd~t. I I '1/ ' 11/05