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Home My WebLink About2007-Plumbing (abandon laterals) o OSHKOSH ON T~E WATER Job Address 543 SCHOOL AVE CITY OF OSHKOSH No 124114 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner STEVEN F HOBBS Create Date 04/09/2007 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 COATS, KEITH Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature bandon sanitary sewer and water laterals. of Work Valuation Issued By Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 0201230000 $500.00 Plan Approval $0.00 Permit Fees $25.00 D Permit Voided I Date 04/09/2007 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 work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement hOlder(S)~. u e any ~~s~proV~IS before starting such activity.' . Signature .....a~~/'O ~/?V Date Y-v f' '7T7 Agent/Owner Address 8424 SHIRLEY CT WINNECONNE WI 54986 - 9533 Telephone Number 920-582-3975 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 'f 0 Box 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 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 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. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here ifvou want this processed throuf?h vour account n JobAddress 5~3 Owner rftvt/t , .sc~/ AI~/tl DDuplex Va.lue (Including labor and materials) ~//~ DRental Contractor $711 Date ~4~ Dlndustrial $/-7 [3s1ngle Family DMulti-Family DCommercial 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 Drain Sculry Sink Soda Disp Hand Sink Caffee Maker F Prep Sink Camm. lee 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 Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Surgeons Sink Brealcrm Sink Dip Well Hose Bibs Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work ~JO ~~.,;~ ~ ?v c:.f7 &~ Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service n/05 City of Oshkosh Engineering Dept. Street Location of Sanitary - Storm - Water Laterals 543 SCHOOL AVE ~bandonment D New Installation '.' 3/12/07 KEITH COATS IYm! Material Size Depth Location Sanitary concrete 4" 6.5' 12' west of east Storm Water lead 3/4" 5' 5' west of east Property File Copy