HomeMy WebLinkAbout0126214-Plumbing (new lateral)
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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/<"
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