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Home My WebLink About2007-Plumbing (lateral) . OSHKOSH ON THE WATER Job Address 516 WASHINGTON AVE CITY OF OSHKOSH No 125257 PLUMBING PERMIT - APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Install new 1-1/4" of Work J Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner TODD W GRUBOTSKI Create Date 06/11/2007 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 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 1-1/4" Plastic Lateral Relay Parcelld # 0406200000 $50.00 0 Permit Voided I Valuation $1,200.00 Plan Approval $0.00 Permit Fees Issued By Date 06/11/2007 Date'~//-tJ "/ Signature Address 3135 DELHI RD OMRO WI 54963 - 0000 Telephone Number 920-685-2196 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (Le. 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 o,f Oshkosh InsB~ction Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the perfonnance 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 i Job Address 51G {Jj 1/511 f /116 TaN Value (Including labor and materials) J;) tJt} Dateh ~ /1 r c) 7 Owner Contractor EfFtI,tf//J g:-YCJ?flf17J1/t DSingle Family DDuplex DMulti-Family DRental DCommercial DIndustrial Number of Fixtures: 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 Ejector/Grind Water Softner Local Waste 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 Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Electric Contractor OR DElectric Installation V erification f~rm attached (If Replacement) Use / Nature of Work U)~ !-JIVe- I<.l1u1-J! Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service PtmTlc I 11./05