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Home My WebLink About0122089-Plumbing (laterals) o 03HKOSH ON THE WATER Job Address 330 FOSTER ST CITY OF OSHKOSH No 122089 PLUMBING PERMIT - APPLICATION AND RECORD Owner DONALD G/NANCY R MONTGOMERY Create Date 10/17/2006 Category 401 - Residential-Exterior (laterals) Plan Contractor COATS, KEITH 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) a d to sec any necessary approvals before starting such activity. G~ Agent/Owner Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Signature Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Flr/Wst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs NSFR/ Sanitary, storm and water laterals. Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 New Storm Sewer 4" Plastic Lateral 1 New Water Service 1" Copper Lateral 1 New Parcel Id # 0608702300 $3,000.00 $0.00 $150.00 0 Permit Voided I Permit Fees Plan Approval Date 10/17/2006 Date /0- / 7- ~~ 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 (Le. 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 PO B0X 1130 Oshkosh, VVI54903-1130 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 VVisconsin 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 are a contractor varticipatinz in the Permit Fee Account System and have adequate funds. check here if YOU want this processed throuflh your account n Job Address -Jg a, r6t1fJ7cer OwnerDe;,/ ,//?,77 ~gle Famil; Contractor ~G:7'd ~ (Vi> --- C?o~~ Date /0- /?-oC Value (Including labor and materials) DDuplex DMulti- Family DRental DCommercial DIndustrial 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 Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Electric Contractor OR DrinkFtn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal E~am Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. 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 DElectric Installation Verification form attached (If Replacement) Use / Nature of Work /'I/G;-W <;~ e, /""- ~;f'r9r ~4- oe_~ZT.'/ S Size Material Type # Sanitary Sewer r p" i!.- S' e--4 ~o Storm Sewer Jt 14 S:/JR ]r- VVater Service I. t."- 1< Conn. Type n/05