HomeMy WebLinkAbout0126714-Plumbing (water tap/sewer/storm)
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OSHKOSH
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ON THE WATER
JobAddress 3126W20THAVE
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 126714
Owner Create Date 09/12/2007
Plan
Contractor BADGER EXCAVATING LLC
Category 430 - Industrial-Exterior (laterals)
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
6" water tap reduced to 2" on property, 4" sanitary sewer and 15" storm to ROW serving new church.
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer 15" Plastic Lateral 1 New
Water Service 6" Plastic Lateral 1 New
Parcelld #
Valuation
Issued By
$3,500.00
Plan Approval
$0.00
$150.00 0 Permit Voided I
Date 09/12/2007
Permit Fees
Address POBOX 584
GREEN LAKE
Date
q - I~ ~ 0 -;
WI 54941 - 0000 Telephone Number 920-294-6212
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
(f)
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
Ifvou are a contractor participatinf! in the Permit Fee Account Svstem and have adequate funds. check here
if you want this vrocessed through vour account n
** Advisory - For applicable projects, an Electrical Installation Verification (EN) 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 returned for completion.
JobAddress S\"2...\.p~. '"'2...~~~ IA..",~ Value (Including labor and materials) 1"50' Date '7- (Z,-,c1
Owner a ~,~'''''Qjl.\.\< C:~UYt...~ Contractor ...... ~t'''' c,,~~ \..~~.
DSingle Family DDuplex DMulti-Family DRental DCommercial Dlndustrial
Number of Fixtures:
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
C Gas C 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
~~~e.\l
Size
Material
.pvL
Conn. Type
Storm Sewer
1.('
~ IS"
(b
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Pv~h'\o 1'\ - \. "L- (PS'
fJVL C-'9Qb '1 t I
P\..o.-. \."\ "- f'o'-v 1'53'
Sanitary Sewer
VVater Service
07/07
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WARD: /31L
LOCATION: 3/~'" k). ~.o1J:
DATE:./O/ /0/17
DHL#:
WORK DONE: /l2 t:tl<e t" C,W-':- /11- ,,/1-
/ ~ ,,. W ~ r e r /IttJt,,'11...
TAP
CUT-IN-ye.5 .
SIZE: t/'
CONTRACTOR:
tJdr1.1 el' IE YlAV (L1Iit;-
INV#: QTY: PARTS:
(L () fJ~1' ~
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MEASUREMENTS:
"", '1/'1;' W Dfw OAf(. WtJdJ:
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LabDr cY 'rLppin3 rnarhjf)(J ~ISO.OD
~VdlrcJt. US-e _ IS. DO
;"0 'b't .5 ()fJt WI j.() 7r
PERMIT#:.. /{ ()
BLACKDIRT: YES {flY
CONCRETE: YES @J
DETAILS: -
GRAVEL: IJ t)
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REMARKS: p~Im;+=tt JJ()(.p8
WORKEjlS: /II. If. tTL
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