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Home My WebLink About0124028-Plumbing (laterals) ,_ OSHKOSH ON THE WATER Job Address 3260 CASEY TR CITY OF OSHKOSH No 124028 PLUMBING PERMIT - APPLICATION AND RECORD Owner CHET WESENBERG reate Date 04/02/2007 Contractor HANNA EXCAVATING Category 401 - Residential-Exterior (laterals) Ian Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker - - - - - - Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap - - - - - - Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap - - - - - - Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve - - - - - Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn - - - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs - - - - - - Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters - - - - - - Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs - - - -, - - Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp - - - - - Misc. Fixtures - Use/Nature NSFRI Laterals of Work Size Material Plastic Type Lateral # Conn. TYPE 1 New Sanitary Sewer 4" Storm Sewer 4" Plastic Lateral 1 New Water Service 1-1/4" Plastic Lateral 1 New Parcel Id # Valuation $2,500.00 Plan Approval $0.00 Permit Fees $150.00 0 Permit Voided Issued By Date 04/0212007 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 Date Agent/Owner Address 2781 VILLAGE LN OSHKOSH WI 54904 - 0000 Telephone Number 235-6450 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per nit 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 rE ceived. Work may continue if the inspection is not performed within two business days from the time the project is rea y. citY of Oshkosh Inspection Services Division "PO Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ ifHKOfH 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 b d by said statutes. . Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S ices, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being do bled or $100.00 plus the normal permit fee, which ever is greater. OR I in the Permit Fee Account S ro essed throu h our account .PI Job Address 32t, d 1:1 '5 ey -;;;; L Valne (InO]""ffig ].b", "'" """,,0,1" ) Owner Co. M'tf5 ~t11' Contractor. ijSingle Family DDuplex DMulti-Family DRental DCommercia Date ~-.3 -d 'Jt vAl;,. DIndustrial Number of Fixtures: Surgeons Sink Breakrrn Sink DipWelJ Hose Bibs DrinkFtn Catch Basin Wait.St. 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 RP.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs 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 Electric Contractor OR DElectric Installation Ve ification f~rm attached (If Replacement) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Jf~ It/c 5'd 1(1) I tUUt) Storm Sewer - 'fIe It! (. S'cA 35 ( rt!ttt Water Service / %iff ;4 ... ~()() ISI I n/os