HomeMy WebLinkAbout0125061-Plumbing (laterals)
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OftHKOSH
ON'l'HE WATER
Job Address 3880 EDGEWOOD RD
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
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Contractor BUD HOCH & SONS
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NSFR laterals with tracer wire.
Size Material Type # Coryn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
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Storm Sewer 4" Plastic Lateral 1 Ne~
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Water Service 1-1/4" Plastic Lateral 1 New
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i Parcelld #
j 1280150203
Bathtub
Whirlpool
Lavatory
Toilet
Res.. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Mise;.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
$1,000.00 Plan Approval
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
No
125061
Owner RICHARD J/NANCY S CASEY
Create Date 05/31/2007
Category 401 - Residential-Exterior (laterals)
Wait. St. Shamp Sinkl
Ice Chest FlrlWst Sinkl-
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Catch Basin.
Wash Ftn
Urinal
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Standp Rec
Ice Maker
Gar Drain
Soda Disp
$150.00 0 permitlVoided I
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$0.00 Permit Fees
Date 05/31/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.1
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perforrln the work
described in this permit application within an easement, the City stronglyurges the permit applicant to contact the I
easement holder(s) nd to secure a y ne s ary 0vals efore starting such activity. i
Signature Date 1..5:= (? J- "7
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Address W11627 ROSE-ELD ROAD RIPON WI 54971" - 0000 Telephone Nulnber 920-748-3055
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Addres~, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain e~try), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the reque~t is received. Work may
c:ontinue if the inspection is not performed within two business days from the time the project lis ready.
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City, of Oshkosh
Inspection Services Division
,P 0 Box 1130
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ushkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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OfHKOfH
ON THE WATER
Number of Fixtures:
Plumbing Permit Application I
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter de~Cribed, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to an~ are bound by said statutes.
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· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspectibn Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) win result in fees bekg doubled or $100.00 plus the
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normal permit fee, which ever is greater. I
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Ifvou are a contractor participatinf! in the Permit Fee Account Svstem and hav~adequate funds. check here
if vou want this processed through vour account n !
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Job Address 34"00 d~('~,,# Value (InC!Udinglaborandrnaterialsr/."acHJ: Date f-]J-(J,/
Owner ,r;.j Contractor ~,I // '" c.6 ,"'" _re.-V
DSingle Family DDuplex DMulti-Family DRental DComJercial DIndustrial
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Bathtub
Disposal
DrinkFtn
Catch Basin
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
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
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
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Surgeons Sink
Breakim Sink
Dip Well
Hose Bibs
Electric Contractor
OR
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DElectric Installatiob. Verification form attached
(If Replacernent) I
Use / Nature of Work ;df ;:'./
~4 ,t&,IJ
Size Material
Sanitary Sewer y'" 'pl/C
Storm Sewer C/II /LrC.,
Water Service ~JA v/..
Type
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Lt:;r.(U~ I
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Conn. Type;
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11/05