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Home My WebLink About0125803-Plumbing (cap laterals for raze) " e OSHKOSH ON THE WATER Job Address 520 BROAD ST CITY OF lSHKOSH I' PLUMBING PERMIT - APJUCATION AND RECORD I Owner BOYS ~ND GIRLS CLUB OF OSHKOSH WISCC Create Date 07/16/2007 categOry~beSidential-Exterior (laterals) Plan Water Softner ::11. Shamp Sink Coffee Maker Local Waste Ice c~est Flr/Wst Sink Int Grease Trap Clothes Wshr Exam;Sink Catch Basin Ext Grease Trap I Bidet SculrY Sink Wash Ftn RPZ Valve Beer Tap Hand ~ink Urinal Eye Wash Statn I Lab Sink Plast~r Sink Standp Rec Wtr Sewer Mtrs I Surge'ons Sink Ice Maker Deduct Meters F preb Sink Gar Drain Wtr Usage Mtrs Serv $ink Soda Disp I I I I I i I No 125803 Contractor KOCH PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Gri nd Sterilizer Dip Well Drink Ftn Use/Nature lAbandon 6" clay sanitary sewer and 3/4" lead water lateral. of Work Valuation Issued By Sanitary Sewer Size i Material' Type # Conn. Type Storm Sewer Water Service Parcelld # 0404930000 $100.00 $0.00 $25.00 0 Permit Voided I Permit Fees Plan Approval Date 07/16/2007 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 2005 DOTY ST OSHKOSH WI; 54902 - 7040 Telephone Number 920-231-6661 or 235 To schedule inspections please call the Inspection Request line ~d 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 projectis 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. ;:21 16 97 07:32a :;: Ci~ of Oshkosh . Inspection Services Division PO Box. 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 Clarence Koch (920) 235-0282 p.l ~) .OJHKOJH 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 permit(s) will result in fees being doubled or $100.00 plus the normal penmt fee, which ever is greater. OR If YOU are a contractor l1articfvatin1! in the Permit Fee Account System and have adeauate funds. check here if YOU want this processed throuf!h your account IXI "2? ,~ ~~....,. /" . //;2 ..-.r.-) 15EA-t/r.:;;~ ....).cr~C~S- <.c... ~ ~oe.../ Job Address 5Ze:; 8.R04d.sr Value (Inc1uding labor and materials) IOO:E.:!. Date 7-/h- 07 Owner Contractor' /(' ac // ,Pl45 ~ DSingle Family DDuplex OMulti-Family DRental DCommercial DIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt DispQsal Dishwasher Sump Pump Ejector/Grind Water Sonner Local Waste. Clothes Wshr Bidet Beer Tap Classnn Sink Surgeons Sink Brcakrm Sink Dip Well Hose Bibs DrinkFtn Wait. St Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap - - RP.Z. VaJve-- Shamp Sink FlrlWst Sink Caleh Basin Wash Fin Urinal Gar Drain Shower Floor Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye-Wash Sin Wtr Sewer Mtrs Deduct Mcters Wtr Usage Mtrs Lndi"y Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Electric Contractor OR . OElectric Installation Verification form attached (If Replacement) Use / Nature orWork ;!/g,LjA//!JCYV .5,C"'U/C/l. / ~/1-r~ Size Material Type # Conn. Type Sanitary Sewer Stann Sewer Water Service r4^ 7-/&'~O 7 ~:l.toS dity of Oshkosh Engineering Dept. LoitionofSanifury - Storm - Water Laterals ~bandonment D New Installation ~ Material Size S CLAY 6" wbter LEAD 3/4" Property File Copy \~rr03 7/17/07 Depth 6'-6" 6'-6" Street 520 BROAD ST KOCH PLBING Location 39' N OF S LOT LINE 39'-6" N OF S LOT LINE