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Home My WebLink About0124506-Plumbing (laterals) e OSHKOSH Of(JTHE WATER Job Address 525 W 17TH AVE Contractor MOREMAN PLBG & HTG SERVICE INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work PLUMBING PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH No 124506 Owner LISA M VOSS Create Date 04/30/2007 Plan Category 410 - Residential-I nterior Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs 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 # Valuation Issued By Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Date 04/30/2007 Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink .~. $3,000.00 Plan Approval $0.00 Permit Fees $100.00 0 Permit Voided I 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 apPlicatiO~n within an easement, the City strongly urges the permit applicant to contact the easement holdfr(s) rnd to secure ny n ssary approvals before starting such activity. Signature \.AJ( Date 0 f.-{ - 3 D - D 7 AgenUOwner Address PO BOX 1325 OSHKOSH WI 54903 - 0000 Telephone Number 231-9191 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 ,~spection Services Division Ip 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 you cire a contractor participatinz in the Permit Fee Account System and have adequate funds. check here ifvou want this processed throuzh VOla account ICl-- Job Address S).~ !AI 17 TH Owner LI51J UU'\} ~Single Family Dnuplex 'S.j Value (Including labor and material~) 3()OO pO l/\^ . 'J Contractor V ( \ DMulti- Family DCommercial DIndustrial DRental Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater Clothes Wshr o Gas 0 Elect 0 PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breaknn Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Electric Contractor OR 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 R.P .Z: Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs - Flr/Wst Sink Deduct Meters Wtr Usage Mtrs DElectric Installation Verification form attached (If Replacement) Use / Nature of Work A u'V)TrJCL S EUJEf2- J1/J4 J0t --t/fCJY7/1 5"JVUJLl n/05