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HomeMy WebLinkAbout2007-Plumbing (laterals) >e ~ ~OSHJ<iOSH ON THE WATE~O ,6 JObAddress~RooSEVEL T AVE Contractor COATS, KEITH CITY OF OSHKOSH No PLUMBING PERMIT - APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner DEL TRITT CONSTRUCTION LLC Create Date 04/16/2007 Category 401 - Residential-Exterior (laterals) Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink lint 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 NSFRI Laterals. Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 New Storm Sewer Water Service 1-1/4" Plastic Lateral 1 New Parcel Id # 1212850000 Valuation $3,500.00 Plan Approval $0.00 Permit Fees $100.00 0 Permit Voided I Issued By Date 04/16/2007 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) and to secure ~ecessary app. rovals before starting such activity. Signature ~~ l':~~ Date Agent/Owner <1/_ /b- 0/ 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 '" .-" rrispection Services Division POBox 1130 cfshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 @~ ~~ OJHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the fonowing plumbing on the premises hereinafter descnbed, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties l1eIeto 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 Ifvou are a contractor participatin~ in the Permit Fee Account System and have adequate funds. check here ifvou want this processed throurzh your account n 62-0 I t5 . .. .c9. . , Job Address ~ 3 l~OC:i~4-1J'eIl'V aIue (Including labor and materials) 3~o~ Dat~ y<-/ ?-l1,? Owner '0 t?'/ 7te-eJt;f'- Contractor ~L?7 /%, ~ ~gIe Family DDuplex DMulti-Family []Rental' DCommercial Dlndustrial 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 Surgeons Sink Breakrm Sink Dip Well Hose Bibs DrinkFtn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp HlIIld Sink Coffee Maker F Prep Sink Comm. 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 FJrlWst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor OR . DElectric Installation Verification form attached (lfReplacement) .9824:/--('/ "/- U/~ Use/Nature of Work rv-~ Size Material 8-~ Type # __<::?i4~ Conn. Type Sanitary Sewer 2.f Storm Sewer Water Service ~-i> 1.1/05