HomeMy WebLinkAbout0126056-Plumbing (sewer lateral)
o CITY OF OSHKOSH No 126056
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 870 CONCORDIA AVE Owner KARL HENRY KODANKO Create Date 08/02/2007
Contractor MR ROOTER OF THE FOX VALLEY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 401 - Residential-Exterior (laterals)
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Repair sanitary sewer lateral.
Size Material Type # Conn. Type
Sanitary Sewer 4" Iron Lateral 1 Repair
Storm Sewer
Water Service
Parcel Id #
1310300000
Valuation
Issued By
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/Grind Drink Ftn Serv Sink Soda Disp
$3,500.00
$0.00
$50.00 0 Permit Voided I
Date 08/02/2007
Permit Fees
Plan Approval
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
AgenUOwner
Address PO BOX 1141
APPLETON
WI 54912 -1141 Telephone Number 920-687-9178
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.
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08/02/2007 11:24
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MR ROOTER
PAGE 01
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City of Oshkosh
Inspection Services Division
P 0 aox ) 130
Oshkosh, VV154903-1130
Phone: (920)236-5050
Fax; (920) 236-5084
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Plumbing Permit Application
( 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 perfonnance of which all parties hereto agree to and are bound by said statutes.
· AppJication(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 withoutpennit(s) will result in fees being doubled or $100.00 plus the
nonnal pennh fee, whtch ever is greater.
OR
H m and have ad!? u Ie unds check hue
Job Address <67 () CoVl~Drd Id All('
Owner ~ l ~"JO-V\ ~
'3 ~ D{)Od
Value (Including labQr and malerials)
K(L, (2t) ~a..
7
Contractor
~ingle Family DDuplex DMulti-Family DRental DCommercial
Number of Fixtures:
B.,thtub DispQilRl Orink Ftl\ Calch Basin
Whirlpool Dishw8$ber Wait.St. Wasli. Ftn
Lavatory Sump Pump Ice Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
RCl;, Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste I-Jl'IlldSink Coffee Maker
Water Helller Clothes Wshr F Prep Sink Comm. Ice Maker
[I Gas I ,IBleCI r: ~wrVnt Bidet Sorv Sin}: S ita Drain
Shower Beer Tap lnt GreIMe Tmp Roof Drain
Floor Drain Classnn Sink Ext Grease Trap Slandp Roc
Lndty Tray Surgeons Sinle RP.Z. Valvc Eye Wllsh SlJI
Lab Sink 8reaktm Sink Shamp Sink: Wtr Sewer Mlrs
Plaster Si!llc Dip Well FlrlWst Sill\< Deduct Mcters
Sleriliz:er Hose Bibs Wtr Usage Mtrs
Mise,
Fixtures
Electric Contractor OR DElectric Installation Verification form attached
(If Replacement)
Use/NatureofWork~\ft .:5ew.u- 1a..1e.n&
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Stonn Sewer
Water Service
11/05