HomeMy WebLinkAbout2007-Plumbing (repair lateral)
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OSHK0SH
ON THE WATER
Job Address 2601 S WASHBURN ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHIEF EQUIPMENT INC
Contractor FREUND EXCAVATING
Category 430 - Industrial-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
No 125291
.
Create Date 06/12/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Repair copper water lateral
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service 1" Copper Lateral 1 Repair
Parcelld #
1329430100
Use/Nature
of Work
Valuation
$1,000.00
$0.00
$50.00 0 Permit Voided I
Plan Approval
Permit Fees
Issued By
Date 06/12/2007
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 t~iS ermi.t appli on wit . an easement, e City strongly urges the permit applicant to contact the
easement ho~ (s) and te se e cessary app als before starting such activity.
Signature/JlJA1111& Date tf-Id""" tJ/
Agent/Owner
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 (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
Inspection Services Division
P 9 ~ox 1130
.. Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
JUN I 1 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
PI umb if\J~~rtvA:ppUr6la~ion
~
OfHKOfH
ON THE WATER
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) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If YOU are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if YOU want this processed through your account n
JobAddressal.#ol S. UJaslibvrn Value(InCIUdinglabOrandmateriaIS)~ 1tJ'n . tJV. .Dateb.-I/-cJ7
Owner t2HI/!'f F"fl.t4IP /f)~/lI1 Contractor Fr'eU(\(J f=-K4VO(-h'n~
DSingle Family DDuplex DMulti-Family DRental DCommercial D:hfdustrial
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 Breakrm Sink
Plaster Sink Dip Well
Sterilizer Hose Bibs
Misc.
Fixtures
Electric Contractor OR
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
RP .Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
DElectric Installation V erification f~rm attached
(If Replacement)
Use/NatureofWorkW~JEI 5r;(IIIL~h Re/fI)~
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
/ II
t . Tid!?I1L
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