HomeMy WebLinkAbout0126442-Plumbing (laterals)
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OSHKOSH
ON THE WATER
Job Address 400 S KOELLER ST
CITY OF OSHKOSH
No
126442
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GROWTH MOTELS OSHKOSH/L D ENGELMAN Create Date 08/23/2007
Contractor SWITLlCK & SON'S INC.
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Category 430 - Industrial-Exterior (laterals) Plan Y2-254-0607-P
Water Softner Wait. St. Shamp Sink Coftee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin 4 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
aterals for new Comfort Suites Hotel. 8" private main, 6" sanitary lateral, 8" water lateral and 12" storm to City storm water system.
Size Material Type # Conn. Type
Sanitary Sewer 8" Plastic Main 1 New
6" Plastic Lateral 1 New
Storm Sewer 12" Plastic Lateral 1 New
Water Service 8" Iron Lateral 1 New
Parcelld #
0611630100
$30,000.00
$228.00 D Permit Voided I
$0.00
Plan Approval
Permit Fees
Date 08/23/2007
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 permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to se e an neces a approvals before starting such activity.
Signature
Date
J"- ~~ "-'07
Agent/Owner
ATHENS
WI 54411 - 0000 Telephone Number 715-257-9081
Address 5812 HIGHWAY 97 SOUTH
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
Insp~ction Services Division
POBox 1130
,Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
(t)
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 vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour 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 EN when such is required, will not be
processed for Permit Issuance and will be retu!lled for completion.
Job Address JjtJO If~LLf~r rjY..e.~t Value (Including labor and materials) S 0 fJoO. Date () 3'-:<'2 -0 7
Owner Dente.. W6&1eY'/I(.se.. Growth /1dkontractor Svvpft;'*-.\1' ~VlJ .h<-
DSingle Family V DDuplex DMuIti-Family DRental ~Commetcial DIndustrial
Number of Fixtures:
Bathtub Disposal DrinkFtn Catch Basin ~
Whirlpool Dishwasher Wait.St. Wash Ftn
Lavatory Sump Pump _J 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 Flr/Wst 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
/'
Sanitary Sewer C
/"") p?
Storm Sewer / .,4-
X"""....,
Water Service U
/e~
aterial
~,r/l'c;
,/?;4JfIC
prlt;;'/1
Type
~/l/p I
j4ff/o/
4 fp/~/
#
j
/
/
Conn. Type
~e t-1
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07/07