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HomeMy WebLinkAbout0126296-Plumbing (laterals) e OSHKOSH ON THE WATER Job Address 40 E WAUKAU AVE .j! ~ CITY OF OSHKOSH 126296 No PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner MARC H OL TRA Create Date 08/16/2007 Category 401 - Residential-Exterior (laterals) Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest FlrlWst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ Valve Beer Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Contractor FREUND EXCAVATING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Repair sanitary sewer. Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 Repair Storm Sewer Water Service Parcel Id # 1417140000 $800.00 Plan Approval $0.00 $50.00 0 Permit Voided I Permit Fees Date 08/16/2007 I n 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 OMRO WI 54963 - 9724 Telephone Number 920-685-2196 Address 3135 DELHI RD 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. Ig 16 0'7 06:24a fu~~;ti;;'s;~ices Division POBox 1130 Oshkosb, WI 54903-1130 Phone: (920)236-5050 Fax: (920) 236-5084 p.1 ~ OJHKOJH ON THE ''''ATE R 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 C.ity 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. . OIl i check here ** Advisory _ For applicable projects, an Electrical I:nsta11ation Verification (EIV) 'form, signed by the Electrlcal Contractor or Homeowner (for iDsta1latioDS allowed to be perfonned by the homeownex) must be submitted with the pennit application. Applications submitted without an EIV when sv.ch is required, will not be _ processed for pexmifIssuance and will be retmned for completion. Job Address 40 E. WAUKAU A VB. Value (Including labor and materiall;) $800.00 Date 8-16-07 Owner MAR.K OHRA . Contractor FREUND EXCAVATING [XJSingle Family ODuplex []Multi-Family ORental DCommereial DIndustrial Number of Fixtures: Bathtub Disposal DrillkFtn Catch Basin Whirlpool Disbwasber Wait. St. WashFm LavaroJY Sump Pump - Ice Chest Urinal Toilet EjectOtfGrind Eum Sink. Gar Drain Res. Sink Water Soflncr Sculry Sink Soda Disp Bar Sink Local Wallie HaI1d Sink Coffi:e Maker Water Heater - Clolhcs Wsbr F Prep 5rot Comm. lee Maker o Gas 0 Elect iJ PwrVllt Bidet Sen-Sink Site Drain ----- Sbower BcerTap Int Grease Trap ROClfnmio Floor Drain Classrm Sink. 'Ext Grease Trap Sbtl'ldp Rec Lndry Tray S1Jrgeoos Sink R.PZ. Valve Eye Wash St1i. Lab Sink: BrCllkrm Sin"k Shamp Sink Wtr Sewer MIrS PlastcrSink Dip Well FIrlWst Sink Deduct Meters Sterilizes- Hose Bibs Wtr Usage: Mtrs . Misc:. FiXUln:s Electric Contractor (for projeets Dot r~quiring 3D EIV Form) Use J Nature of Work SANITARY SEwER REPAIR Size Material Type # Conn. Type Sanitary Sewer 4" PVC LATERAL 1 Storm Sewer Wau:r Service 07 f07