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Home My WebLink About0125389-Plumbing (lateral) CITY OF OSHKOSH No 125389 PLUMBING PERMIT - APPLICATION AND RECORD Owner ETHEL BUCHANAN Create Date 06/19/2007 Plan Contractor FREUND EXCAVATING Category 401 - Residential-Exterior (laterals) o OSHKOSH ON THE WATER Job Address 330 W 17TH AVE 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 Hand 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/Gri nd Drink Ftn Serv Sink Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Relay water and sanitary sewer laterals per correction notice. Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 Relay Storm Sewer Water Service 1" Copper Lateral 1 Relay Parcel Id # 0908560100 Valuation Issued By $2,000.00 Plan Approval $0.00 $100.00 D Permit Voided I Date 06/19/2007 Permit Fees 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 Address 3135 DELHI RD Agent/Owner OMRO WI 54963 - 0000 Telephone Number 920-685-2196 Date 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 POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH RE N'H'Wlv D JUN 1 8 2007 I hereby apply for a permit to do and install the following plumbing on the premises hereinafter describedo:epA"Wr~fWf>pffrm to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and ll:tPN)muNmr~M~ENT INSPECTION SERVICES DIVISION . Application(s) ana. 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 rire a contT'actor varticipatinf! in the Permit Fee Account System and have adequate funds. check here if you want this vrocessed throuf!h your account n Plumbing Permit Application 4- Job Address .? ~ IJ}. 11 it ~ ' Value (Including labor and materials) tnJt). dt) Owner ~ ~~ Contractor $lSingle Family DDuplex DMulti-Family DRental DCommercial DateD -IE' ,.t:/'7 Industrial Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater Clothes Wshr o Gas 0 Elect 0 PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Electric Contractor OR DrinkFtn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec RPZ. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink DeductMeters Wtr Usage Mtrs DElectric Installation Verification fo'rm attached (If Replacement) Use / Nature of Work IAJIJ-rER tSB"w!f'f /(~t/III Size Material Type # 1I}~Ve Sanitary Sewer J.)" PL/J5rt C LIt7EML I Storm Sewer J" o(})ljJ$'~ tJtJE~/Il1 f(fZ.II'1 Water Service 11/05