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HomeMy WebLinkAbout0126214-Plumbing (new lateral) o OShKOSH ON THE WATER Job Address 601 W 6TH AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner MARK W SHOWERS Contractor O'NEILL ENTERPRISES INC Category 430 - Industrial-Exterior (laterals) 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 No 126214 Create Date 08/10/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs I nstall new storm lateral and relay 1" water lateral. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer 6" Plastic Lateral 1 New Water Service 1" Plastic Lateral 1 Relay Parcelld # 0601910000 Valuation Issued By $4,000.00 $0.00 $107.00 0 Permit Voided I Date 08/10/2007 Permit Fees Plan Approval In the performance of this work, I agree to perform all wof!< 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 522 W 6TH AVE Agent/Owner OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 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. l08/10/200: 10,04 FAX 19202'02008 ~City oIOshkosh I~~:;ectlon Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ONEILL ENTERPRISES 19j001/OOl . ~&iH. Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to confonn 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 I Fee Account S stem and have ade ** Advisory. For applicable projects, an Electrical Installation Verification (EIV) form, sig:i1ed 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 ffJi!f!.~ Value Q"I""", I,,., V""'1orl~'1 Owner /' . Contractor OSingle Family DDuplex DMulti-Family DRental DCommercial '8- '!-IJ t; c. Number of Fixtures: Bathtub Disposal prink Ftn Catch BaSin Whirlpool Dishwasher Wait.St. Wash Fm Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink oar Drain Res, Sink Water Softner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wshr F Prep Sink Comm, Ice Maker o Gas 0 Elect 0 pwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classnn Sink Ext Grease Trap Srandp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash 8tn Lab Sink Breakrrn Sink Shamp Sink Wtr Sewer MtIs Plaster Sink Dip Well FlrlWst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Jr){)/ J h"I L'_ "1Cf Use / Nature of Work ~.t::XF b- Size Material Type # Conn. Type Sanitary Sewer pVC s:;:.ID 35 1b 1/ Storm Sewer I" Pet< Water Service 07/07 WARD: LOCATION: IoD I .f.' tJ ~) -r " WORK DONE: / n fOD o,~ 1.0 'i Ma;tl) , ., CJ f\ /r:; ,j-f-t :5/" INV#: S 300J. 33011 SSDi7 S3DDI QTY: I t J IS' PARTS: corD l ' Curb s -Iu{) I bDX '-w" f'D d v I q ~/) !fJ0r l-Q b() r + "up Pi 'IS rf)M h'j(lL V ..d~icJ,c LL~yC IS ~ ()() J ()L) . c.>o GRA VEL: REMARKS: Perm~ t * ;):lOlf7 .u L ,~O-~ & ffJ()'"5 TAP )( , CUT-IN '/ SIZE: i . Lt, CONTRACTOR: ,j;i~b 'sc., V1 CXCc;,?tl4'~ MEASUREMENTS: (?-,~' l4J'1 fA) 6,A ;0 10' ,vi -5 In 'fA sf PERMIT#: BLACKDIRT: YES NO CONCRETE: YES NO DETAILS: - WORKERS: '7/<" "') bv