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Home My WebLink About0126331-Plumbing (laterals) G. OSHKOSH ON THE WATER Job Address 1325 W FERNAU AVE CITY OF OSHKOSH No 126331 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Gri nd Owner Create Date 08/17/2007 Category 430 - Industrial-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 2 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 VAN HANDEL EXCAVATING INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Laterals with tracer wire to new industrial building, "Roll Expert". 15" stonn to pond with 2 catch basins, 8" water lateral and 6" sanitary sewer. .Plan review shall be submitted if required per COMM 82.20..- Size Material Type # Conn. Type Sanitary Sewer 6" Plastic Lateral 1 New Storm Sewer 15" Plastic Lateral 1 New Water Service 8" Plastic Lateral 1 New Parcel Id # $30,000.00 $0.00 Permit Fees $164.00 D Permit Voided I Plan Approval Date 08/17/2007 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 penn it application within an easement, the City strongly urges the permit applicant to contact the easement holder. s) and s./ecyrr any essary approvals before starting such activity. Signature ~ IIA Date Agent/Owner 8'~ 17 -0/ Address 5325 N BALLARD RD APPLETON WI 54913 - 0000 Telephone Number 730-9000 MPRS 31 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. City of Oshkosh Inspection Services Division P 0 BOIId 130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ 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 If YOU are a contractor participating in the Permit Fee Account System and have adequate funds. check here if YOU want this orocessed through your account n ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) 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. )J Job Address !5;)Sl.J. fe..rll~ t{ Aile. Value (Including labor and materials) )'0/000. c)D Date 8-/7~ 0./ Owner Roil [XDC/'I 11 L-- Contractor ;f..,.. R S-t"ee/ DSingle Family / DDuplex DMuiti-Family DRental ~Commercial DIndustrial Number of Fixtures: Bathtub Disposal Drink Ftn Cl!tch Basin d.... Whirlpool Dishwasher Wait.St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar 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 Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs 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) Use / Nature of Work Size Material Type # Conn. Type " //~II ~ L~-I (/.../ / /f!( ~ Sanitary Sewer t, jr-oA I ' I , VI.. I ~ Storm Sewer Water Service ...... , I . ' t l , 1 ? 07/07 WARD: /02. .;. J.. DATE~ 'B';;l.::J...-() 7 . DHL#: LOCATION: /3~5 W .- .r~t"'1"1.a.~1 WORK DONE: mc..-f:.e, X>- ~ T ;..... 0 t1 '6.'- r)\Dl..J V\ DJ.J P'C/J.j\/f)() IjJef TAP CUT-IN X SIZE: ~ CONTRACTOR: V ~ h f..k.Je.-/ INV#: QTY: PARTS: /If tJ ?Ar -l-s (s V;^p/J~d. 6'1 (!on7;t>.(..Tdft.) MEASUREMENTS: '-ll(.p' tAl ~.t l, II/..../~nd' ~ . AI o..P 5 F f!:..rrl a. \.A. PERMIT#: . BLACKDIRT: YES ~ CONCRETE: YES ~ DETAILS: - GRAVEL: AJO . REMARKS: Perm"tt* JJ6yq. WORKEjlS: ~S ('"1" Ry lAiD ~D ~ {.;IDY:l