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HomeMy WebLinkAbout0126600-Plumbing (catch basin) e OSHKOSH ON THE WATER Job Address 1602 INDIGO DR CITY OF OSHKOSH No 126600 PLUMBING PERMIT - APPLICATION AND RECORD Owner f'AULA MCRAE Create Date 09/05/2007 , Category......,-r- industrial-Exterior (other) Plan Contractor BERNDT EXCAVATING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature f1nstall catch basin of Work Shower Floor Drain Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink EjectorfGrind L Size Material Conn. Type Type # Sanitary Sewer Storm Sewer Water Service Parcelld # 1307310100 Valuation ___t12QQ.:.OO Plan Approval ___~~9] Permit Fees _~_~5.00 0 !~mit ~oided ! Issued By Date 09/05/2007 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 holde s and to s c e an); ece ary approva before. tarting such activity. Signature t ~ ~""'-- 0 7 Date AgenUOwner Address 2527 W WAUKAU AVE OSHKOSH WI 54904 - 0000 Telephone Number 235-3331 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 POBox 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 (I) 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 VVisconsin 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 VVI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If YOU are a contractor vartic ivating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account n ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. f' J C"', r Q..! ,....") Job Addre~ I, Ie 0).. .+: or '$ a Value (lnd,"" (,bu, ,;,,' mol"'",) fl 0(5-" Date ,'{- 0 -0 ( Owner f ",I.. I ",Cl ., 'v, J)~ Contractor 3~f " f, x' C;::01 v;f, .., '" DSingle Family ~ DDuplex Multi-Family DRental DCommer'cial Dlndus'tflal Number of Fixtures: -L Bathtub Disposal Drink Ftn Catch Basin 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 Flr/Wst Sink Deduct Meters S teri I izer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projectsnot reguiring an E! Form) , Use/Nature of Work 7 V}~lct ({ (o-.L~ ~ 1?9S-/ ~ Size Material Type # Conn. Type Sanitary Sewer ~ /r ~vc Storm Sewer VVater Service 07/07