HomeMy WebLinkAbout0124799-Plumbing (storm lateral)
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OSHKOSH
ON THE WATER
Job Address 2010 MINERVA ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS C MA YERL
Contl'actor FREUND EXCAVATING
Category 401 - Residential-Exterior (laterals)
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Bathtub
Whir~pool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site IDrain
Roof Drain
Misc.
Fixtures
Use/Nature ilnstall new 4" storm lateral.
of Work
No 124799
Create Date 05/15/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Type
#
Conn. Type
Valuation
Issued By
Sanitary Sewer
Storm Sewer
4"
Plastic
Lateral
New
$1,000.00 Plan Approval
$0.00 Permit Fees
$50.00 D Permit Voided I
Parcelld #
1213220000
Water Service
Date 05/15/2007
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 thi ermit application within an easement, the City strongly urges the permit applicant to contact the
easement hold r s) and to secu necessary pprovals before starting such activity.
Signature
Agent/Owner
OMRO
WI 54963 - 0000 Telephone Number 920-685-2196
Address 3135 DELHI RD
Date b~/5 -0 7
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
c' .
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
vdF})Y
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and iQstall 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 participatinf! in the Permit Fee Account System and have adequate funds, check here
if YOU want this processed throuf!h your account n
Job Address c70 I" m /#f~/Jtr $Value CIncluding labor and materials) .:/f/~ '. rf) DateS ~/.5 -07
m)/lf EL- Contractor FI EPIV(} fiCII I//IT//YG
DIndustrial
~
Owner 10m
~Single Family
DDuplex
DMulti-Family
DRental
DCommercial
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 Breakrrn Sink
Plaster Sink Dip Wen
Sterilizer Hose Bibs
Misc,
Fixtures
Electric Contractor OR
DrinkF1n 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 S1n
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
DElectric Installation Verification f~rm attached
(If Replacement)
Use/NatureofWork '5YJftf/ 5P'IA/E~ ?IfTEt;1L
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
'I "
P tJ95T/ C
I-lflE/RL I
)/r~
Water Service
11/05