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Home My WebLink About0126019-Plumbing G OBHKCfSH ON THE WATER Job Address 854 KEENVILLE LN CITY OF OSHKOSH No 126019 PLUMBING PERMIT - APPLICATION AND RECORD Owner HRS DEVELOPMENT INC Create Date 07/31/2007 Plan Contractor HANNA EXCAVATING Category 401 - Residential-Exterior (laterals) Shower Water Softner Wait. St. Floor Drain Local Waste Ice Chest Lndry Tray Clothes Wshr Exam Sink Disposal Bidet Sculry Sink Dishwasher Beer Tap Hand Sink Sump Pump Lab Sink Plaster Sink Classrm Sink Sterilizer Surgeons Sink Breakrm Sink Dip Well F Prep Sink Ejector/Grind Drink Ftn Serv Sink Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Water and sanitary sewer laterals with tracer wire for NSFR. of Work Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Plastic Sanitary Sewer 4" Storm Sewer Water Service 1-1/4" Plastic Type Lateral # Conn. Type New Valuation $1,500.00 $0.00 Permit Fees Parcel Id # 1550010200 Plan Approval Issued By Lateral New Date 07/31/2007 In the performance of this work, I agree to perform all work pursuant to rules goveming 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( an to secure any nec ssary approvals before starting such activity. Signature Address OSHKOSH WI 54904 - 0000 Telephone Number 235-6450 $100.00 D Permit Voided I Date 1- 31-07 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 of Oshkosh Inspection Services Division POBox 1130 '8shkosk, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 (t) OfHKOfH 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 permit fee, which ever is greater. OR UyOU 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 ** Advisory - For applicable projects, an Electrical Installation Verification (ElV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address g~ . , Valne (In",'ln, I,OO,~' ~rot? ';' .. ~ate 1 - J 1- (J 1 ~er ~ .-Z_Sro [/111 h. Contractor ....}; ~ ~ /2-. 1;[ . ~]) 1J6/7 ' ~ingle Family DDuplex DMulti-Family DRental o Commercial DIndustrial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect iJ PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Drink Ftn Wait.St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap R.P.Z. Valve Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn...;::;::,,_=,-~ --~ W~wef1\iltrs De~lltefS----;:::- \, - Wtr Usage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use I Nature of Work Size Material Type # Conn. Type Sanitary Sewer Ljl( 5d fLcj rt/ (".. / lYe: u/ Storm Sewer Water Service /~-'/ IJ ZOO r.5; I ;t)~uJ 07/07