HomeMy WebLinkAbout0124068-Plumbing (laterals)
e CITY OF OSHKOSH No 124068
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 935 LINDEN OAKS DR Owner MOKLER CONSTRUCTION INC I reate Date 04/04/2007
Contractor ZILLGES EXCAVATING
Category 401 - Residential-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Gri nd Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature NSFRI Water and sanitary laterals. **debit acct
of Work
Size
Material
Plastic
Type
Lateral
#
Conn.Typ
New
Sanitary Sewer
4"
Storm Sewer
Water Service
1-1/4"
Plastic
Lateral
New
Valuation
$2,500.00
Plan Approval
$0.00
$100.00 D Permit Voided
Permit Fees
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 aQ tion within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) an ~~necessary approvals before starting such activity.
Signature ....... ---~~~_ Date
Agent/Owner
Ian
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Parcel Id #
1344110000
Date 04/04/2007
4'/<f /07
Address 1800 FOUNTAIN AVE
OSHKOSH
WI 54904 - 0000 Telephone Number 376-1005
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 rJceived. 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, VVI54903-ll30
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 describedl the work to conform to the
VVisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are b ~'und by said statutes.
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 ou are a contractor artici atin in the Permi ee Account S stem and have ade ate unds check here
ou want this rocessed throu h our account
Job Address q 3)" ~'w1lM. tJf#1.<:'
DDuplex
Contractor
DMulti-Family
Value (Including labor and materials)
,4.
"-/1-'/ :..5
Date 'IAk?
Owner
/XISingle Family
DRental
DCommercial
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Disposal DrinkFtn Catch Basin
Dishwasher Wait.St. Wash Ftn
Sump Pump Ice Chest Urinal
Ejector/Grind Exam Sink Gar Drain
Water Softner Sculry Sink Soda Disp
Local Waste Hand Sink Coffee Maker
Clothes Wshr F Prep Sink Comm. lee Maker
Bidet Serv Sink Site Drain
Beer Tap Int Grease Trap Roof Drain
Classrm Sink Ext Grease Trap Standp Rec
Surgeons Sink RP.Z. Valve Eye Wash Stn
Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Dip Well Flr/Wst Sink Deduct Meters
Hose Bibs Wtr Usage Mtrs
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Use / Nature of Work
f'r/(
OR
(/Il!/A.J
DElectric Installation Veri I cation fo~m attached
(If Replacement)
Sanitary Sewer
Size
CfH.
Material
five
Type
#
Conn. Type
Storm Sewer
VV ater Service
II
1/'1
,,/I
n/os