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HomeMy WebLinkAbout0124799-Plumbing (storm lateral) .. 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