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Home My WebLink About0127143-Plumbing (lateral) ;l8 OSHKOSH 0N THE WATER Job Address 4012 HEMLOCK CT CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner PORTSIDE BUILDERS Category 401 - Residential-Exterior (laterals) Contractor HANNA EXCAVATING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Water Sottner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp No 127143 Create Date 10/08/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs NSFRI Lateral with tracer wire. Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 New Storm Sewer 4" Plastic Lateral 1 New Water Service 1-1/4" Plastic Lateral 1 New Parcelld # 128200147 Valuation Issued By $1,500.00 $0.00 $150.00 D Permit Voided I Date 10/08/2007 Permit Fees Plan Approval 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 per it application within an easement, the City strongly urges the permit applicant to contact the easement holde s) a d to secure any nec s ary approvals before starting such activity. Signature Address Date /tJ. 8 'cJ:; OSHKOSH WI 54904 - 0000 Telephone Number 235-6450 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, WI 54903-1130 . Phone: (920) 236-5050 Fax: (920) 236-5084 'CIJ OfHKOfH ON THE WATER Plumbing Permit Application [ 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 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 beretumed for completion. . . d_ _,,/_ . J1' -'cJ ~ ILl 0 1- Job Address 1/tJ / 2 ~""'~ V alne (Inol,di" ],bo,,"' =l<ri",) /)0, Datl6f' - (/ -IJ ' Owner f/;{ I- r i:; j~ _ <) f Contractor j\ vnf tJ..!M1l1iCl 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 . o Gas 0 Elect C 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 Material Type # Conn. Type Sanitary Sewer f/( It! {', j Ii:;}' S~er ., It (lit: / {l- ii / JUM. Water Service /)9 rr , ..- 07/07