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HomeMy WebLinkAbout0123951-Plumbing (sewer) o OSHKOSH ON THE WATER Job Address 403 N LARK ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner ERIKA REZENDES Contractor MR ROOTER OF THE FOX VALLEY Category 401 - Residential-Exterior (laterals) Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Install new 4" sanitary sewer out to sidewalk and repipe drain stack in basement. of Work Size Material Plastic # Conn. Typ Relay Sanitary Sewer 4" Type Lateral Storm Sewer Water Service Valuation Plan Approval _~~_~().OO Permit Fees $50.00 0 Permit Voided Issued By In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the w rk described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Address PO BOX 3063 Agent/Owner APPLETON WI 54914 - 0000 Telephone Number 920-687-9178 No 123951 Ian reate Date 03/21/2007 Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Parcelld # 1609620000 Date 03/27/2007 Date To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per it Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y ur Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is r ceived. Work may continue if the inspection is not performed within two business days from the time the project is rea y. 03/27/2007 08:15 9205879407 MR ROOTER PAGE 01 :--- i qty of Oshkosh l.D$pcction Services Division .p 0 Box. 1130 Oshkosh. WI 54903-.1130 :Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing Permit Application I hereby apply for a permit to do and iDstaJl the :fiillowing plombiDg on the ptem/.se$ hcm:inafleJt tbcVo"Olk to ~m to the Wiscousin State Plumbing Code. in the J?etfol:mance of which all parties hereto ~ to and arc . by said staCutcs. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S . ces. PO Box 1128. Oshkosh. WI 54903-1128. Commencing wax:k without permit(s) will result in fees being do led or $100.00 plus the nomml pen:ni.t fee, wbich ever 1& greate(. . . OR .:rObAdmr~ tJ. lax-l~ ValDe_...;...._l Owner Jh k ~ t'Y\ovY.l . Contracto~ ~Single Family. . []Duplex. OMultl~Family . LlRental. DCo _. ': , ., ~:d --::"-i~~~',.... ~ . __ .. l.l..i,P.U. u;>>u....'!I-!'..,. -,.;.., Number of Ftxnires: ~'~3':.~ ~"":'~'? F~ -:'~~r:;;: Ba~.ib Wt\iItpOot Lavatot)' T~let Re:!o. Sinle Bar- Sink WIlh:r HC8Ult o Gas 0 EIClCt 0 PwrVnt Sbowr:r DIcpoW . Dlskwubc:r Sump f't1nJp ~d WK_ SafiDer Local WlIltc Clothes Wsbr Bidet Beer "hp ctasnn Sink Suraeoos SiDk Brcak:nn Sink Dip WqJJ liOleBibs DrfDk fin Waft. St. lee Chest EXam Sink Sculry Sink BamI SiDk F~ Snik S<<v Sintr.: lilt Grease b.p Bxt Grease Tmp 1U'..z. Valve Shimp Sink FlrlWsl Smt: .. Call:h BasIn ,Wash F1n . UrInal Oar Dr.ain . Sack I>iBp com. Mal<<lr Comm. Jcn Mabl- She Drain RoofDreill SUlIlIfp Rec E)q: Wash Slit wtrSawer MlI'S Deduct Meters Wtr Upgc Mtri . . - Floor Drain Lndry TraY. Lab Sink .l>Ill!It!:r Sink Stl:riliEar Mille. fb:tums: R.E.p~c.€. Use I Nature of Work f2-E- OR OEI~tlnstallation Ve cation form attached n--". (If Rcphlcm1l::nt) . L f\.:-rE."-""'l L D lrr~ I l) e 16 S J DE LJJ ft AI\,) 4ie:: t2.Du. 6 HtJ V Electric Contractor Sanitary s~ Size -4~' Material Type # Com. Type StorrnSewcr Water Service ..... 9 ,,'n-.;.