HomeMy WebLinkAbout0126563-Plumbing (laterals)
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OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER !
Job Address 1706 SPRUCE ST I Owner SHOWCASE CUSTOM HOMES INC Create Date 08/29/2007
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Contractor E9RRE~I PL~~BING _'=!:~____.____L-_. Category 401 - Residential-Exterior (laterals) _ ___ Plan .________~
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Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain LoJal Waste Ice Chest FlrlWst Sink Int Grease Trap
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Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bid~t Sculry Sink Wash Ftn RPZ Valve
Dishwasher Be~r Tap Hand Sink Urinal Eye Wash Statn
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Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Ste~i1izer Surgeons Sink Ice Maker Deduct Meters
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Dip'Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drihk Ftn Serv Sink Soda Disp
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CITY OF OSHKOSH
No
126563
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Use/Nature IINSFR/ .Laterals with tracer wire.
of Work
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Size
Material
Plastic
Type
Lateral
#
Conn. Type
New
Sanitary Sewer
4"
Storm Sewer
Water Service
1-1/4"
Plastic
Lateral
New
Parcelld #
1206460000
Valuation ~o.oo
Issued By
Plan Approval
$0.00 Permit Fees
$100.00 0 Permit Voided I
Date 09/04/2007
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In the performance of this work, I agree to perforrrj 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 eas~ment, 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
Address 5210 N LOOP RD i LARSEN WI 54947 - 0000 Telephone Number 920-836-3986
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, w~ 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.
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FORREST PLUMBIN:G
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IplUmbjng Permit Application
I hereby apply for a permit to do and inltall the following plumbing on the premises hereinafter described, the work to cOnfOIDl to the
Wisconsin State Plumbing Codcl, in the performance ofwmch 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. Corrlmencing work without pennit(s) will result in fees be.ing doubled or $100.00 plus the
normal permit fee, which ever i~ greater.
OR I
I 'ou are a contractor artici atin in the Permit Fee Account S stem and have ade
'ou want thi,~ rocessed throu' h our account
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Aug 29 07 11 :56a
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, Wl54903-ll30
Phone: (920) 236-5050
Fax: (920) 236-5084
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Job Address
Owner
~ingle Family
Number of Fixtures:
Bathtub
Whirlpool
La.....atory
Toilet
Res-Sink
Bar Sink
Wafer Heata
L Gas U Elect [j PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
S IcriJize:-
Misc.
Fixrures
Electric Contractor
Use I Nature of Work
Sanital)' Sewer
Storm Sewer
Water Service
, lly \1
920-836-3986
p.3
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OfHKOfH
o'\; -~,l:" '~';:r\lFR
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Value (In"ludinglaboraodmaterial~)~()i)) ,00 Date B~) 6f
Contractor j:'one<;+, '\Y\''-'''''-b'd LLC' ,
DRental DCommercial ndustrial
Displl:;a] I
Dishwash~
Sump Pu~p
Ejector/Grind
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Water S~er
Local Woste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
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Surgeons ~ ink
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Brellknn Sink
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Dip Well i
HDSC Bib:!
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DrinIr. Ftn Ca.tch Basin
W"it.St. Wa~h Ftn
lee Chest Urinal
Exam Sink GarDmin
Scnlry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Smk Comm. lee Maker
Serv Sink Site Dmin
Inl Grease Trap Roof Drain
Ext Gceosc Trap Slandp Rcc
R.P2. Valve EycWashStn
Sllamp Sink Wtr SeweIMtrs
FlrlWst Sid Deduct Mell:l'$
WIr Usage Mtrs
QE.
DElectric Installation Verification form attached
(If Rcplacement)
Size
4"
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'Material
:()'lL
Conn. Type
Type #
S'c\1i\.u\alf.o
Po~
cp~\'\~
11/05
WARD: 1''2...
~~+1< 1 ~fh~
LOCATION: J?tJ~
6d'tlZtl ~ ST.
. WORK DONE: J .'; 7;1' ON (I-a."' .A1/r::J:AJ ,)
ON S'PR..UC'i5 sr.
INV#: QTY:
3$0 IJ I
..s 3ooD.. -L
S'3t? J I ---L.
<: ' '.." I
,v 8'u~1 ~
PARTS:
&~ - ..6J~ j
'''I
, Ct.?a.P
,~~ ..... ,/
J c v ill 13 . $~lr
,/1 Copr~r /
labor .*' Tappif1] rnoc hine- /DO ,DC>
v t.h jc, 'of U~.c\S ~DO
GRA VEL:
REMARKS: ~tr rn'lt-lt J;) () S .)
,).J b ~6~ ~l S61
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DATE;dCf(<-3/0/
DHL#:
TAP )<
CUT-IN
/.1
SIZE: I
CONTRACTOR:
(t7Ufi:.;6'l ~ lvetn6'fiV<;
MEASUREMENTS:
..r ; ,
63 lV i- tU No8f2S
... i
b tv ~ Ii.. s d'$Li)(.,t
PERMIT#:
BLACKDIRT: YES NO
CONCRETE: YES NO
DETAILS: ~
WORKE~S~ '7'/(_