HomeMy WebLinkAbout2006-Plumbing (laterals)
e CITY OF OSHKOSH No 122026
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address~025 ROOSEVELT AVE Owner DEL TRITT CONSTRUCTION LLC Create Date 10/12/2006
Contractor COATS, KEITH
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/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
. Use/Nature NSFRllnstall new water and sanitary sewer laterals.
of Work
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Plastic
Type
Lateral
#
Conn. Type
New
Sanitary Sewer
4"
Storm Sewer
Water Service
1-1/4"
Plastic
Lateral
New
Valuation
$3,000.00
Plan Approval
$0.00
$100.00 D Pe~~i~\,IoJ~~
Parcelld #
1212840000
Permit Fees
Issued By
Date 10/12/2006
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 any necessary approvals before starting such activity.
Signature ~~ ~ Date /0-' /.:I..,,,~
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 (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
POBox 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 pennit 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor varticivating in the Permit Fee Account System and have adeQuate funds, check here
if you want this processed throuf!h your account n
Job Address cJ.e, ~ ~ e., SC~.?ue (!noloding "'boc md ~reri"') 0 PW.J. ~ Date' / .Y. M '- <)'~
'~, 'r;r- Contractor C~#/ ,,' ~/;g q~
DRental DCommercial Dlndustrial
Owner t>~ /
GsJigle Fa~ily
DDuplex
DMulti- Family
DrinkFtn Catch Basin
Wait. St Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
OR DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work
p~
S?~~ c., R
Cj
Ct//;l7C-2
~/nn:~"
Size
Material
f (.,J". C.
Type f #
.$i ~. 4-/0
Conn. Type
Sanitary Sewer
/-f
Storm Sewer
Water Service
~
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