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HomeMy WebLinkAbout0124798-Plumbing (storm lateral) e, OSHKOSH ON THE WATER Job Adcf~ess 1570 MARICOPA DR CITY OF OSHKOSH No 124798 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner MICHAEL MUSSEN Create Date 05/15/2007 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 FREUND EXCAVATING Bathtub Whirlpool Lava1tory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valllation Issued By Install new 6" storm lateral ffor sump and roof drainage. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer 6" Plastic Lateral 1 New Water Service Parcelld # 1319890000 $2,600.00 Plan Approval $0.00 Permit Fees $50.00 D Permit Voided I Date 05/15/2007 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 thO ermit application wi in an easem t, the City strongly urges the permit applicant to contact the easement hold () and to seeure y ecessary ap ovals before starting such activity. Signature 6 "/5 ;o~ Date Agent/Owner OMRO WI 54963 - 0000 Telephone Number 920-685-2196 Address 3135 DELHI RD To schedule inspections please call the Inspection Requesfline 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 PO B'ox 1130 Oshkosh, WI 54903-1130 Ph.9ne: (920) 236-5050 Fax; (920) 236-5084 oj') ~ 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) win result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If vou are a contractor participatinz in the Permit Fee Account Svstem and have adequate funds, check here ifvou want this processed throuzh vour account n Job Address /570 /1)#11 (Jt;M Owner !hiKE H1l/5Sff1fl ~Single Family DDuplex it Value (Inc1uding labor and materials) ~, 1/1) Date 5-/5-0 7 f'JI e tll/ltJ Be,f 1I!frJ //16 Contractor DMulti-Family DRental DCommercial Dlndustrial Number of Fixtures: 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 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 FlrIWst Sink Deduct Meters Wtr Usage Mtrs 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 Ej ector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrrn Sink OR DElectric Installation Verification form attached (If Replacement) Electric Contractor Use I Nature of Work 5101. m :5E wttf tATE ,(If L Size Material Type # Conn. Type Sanitary Sewer Storm Sewer 6 " fLIIs TIC iJ1 rEI<#- I - Ale ()) Water Service n/05