The URL can be used to link to this page

Home My WebLink About0124835-Plumbing (repair) e" OSHKOSH ON THE'WATER Job Address 1427 WISCONSIN ST CITY OF OSHKOSH PLUMBING PERMIT ..APPLICATION AND RECORD Owner DOUGLAS AlJULlE C MOSHER Contractor DR HANSEN PLBG. Category 401 - Residential-Exterior (laterals) Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc:. Fixtures Use/Nature of Work Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Himd 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 No 124835 Create Date 05/17/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Repair 6" clay sanitary lateral. . Size Material Type # Conn. Type Sanitary Sewer 6" Vitrified Clay Lateral 1 Repair Storm Sewer Water Service Parcelld # 1210170000 Valuation $5,000.00 Plan Approval $0.00 Permit Fees $50.00 D Permit Voided I Issued By Date 05/17/2007 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 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 Agent/Owner Address 55 KNAPP ST OSHKOSH WI 54902 - 3448 Telephone Number 233-1595 To schedule inspections please call the Inspection Requesl 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 Inspecrion Services Division POBox 1130 Ospkosh, WI 54903-1130 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 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 perinit(s) win result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR [~~Ou are a contractor oarticipatinf! in the Permit,Fee Account Svstem and have adequate funds, check here i__ou want this processed throuflh vour accoufft n -,w;" '<~'>_~ Job Address Ii 2-7 tv I S ~~:(m'lodfugl'~d =reri,l,) fIt!JCJ .. ~ate '5" /rJ/t1"J Owner l2:.6 V u- M OS?:.lfum~tor. J ).IL .~A9I\ISEIf./'- , 4 " ... 6 !DSingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial I'~ Number of Fixtures: Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink DipWelJ Hose Bibs Drink Ftn 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 Flr/Wst 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 Disposal Dishwasher Electric Contractor (("~ ... ~Ei. fAt Jl..- OR DElectric Installation V erification f~rm attached ( . . (If Replacement) ~~f;;;;.~ ~ Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 11/05