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