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Home My WebLink About0127215-Plumbing (lateral) G OSHKOSH ON THE WATER Job Address 1628 RIVER MILL RD CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner ROBERT A GLUTH Contractor SOPER PLUMBING Category iCJ1 - Resid~.ntial:Exterior (laterals) Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Shower Water Softner 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 127215 Create Date 10/11/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs ._-'_._-"~--------~-----'----~-----, , I _J Size Material # Conn. Type Address 2225 BURNWOOD DR Agent/Owner OSHKOSH VYI 54902 _ - 9003 Telephone Number 426-2151 [ I $to,," I,tecal to ho",e ,,, "mp p'mp. "DEBIT ACCT" $1,200.00 Plan Approval $0.00 Permit Fees _____ $50.00 D PElrrnit \I~~~ Parcel Id # 1224050000 Type Sanitary Sewer Storm Sewer Plastic Lateral New Date 10/11/2007 4" Water Service 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 secure any necessary approvals before starting such activity. Signature Date 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 ~ OfHKOfH ON THE WATER Plumbing Permit Application 1 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 I in the Permit Fee Account S stem and have ade uate unds check here our account ** 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. Job Address /~,;{? ~ (JId Value (Including labor and materials) Dnuplex Contractor DMulti-Family DRental Date /tJ ~ / ff) ? I Owner DSingle Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater C Gas C Elect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink S teri 1 izer Misc. Fixtures Disposal Drink Ftn Catch Basin Dishwasher Wait. St. Wash Ftn Sump Pump Ice Chest Urinal Ejector/Grind Exam Sink Gar Drain Water Softner Sculry Sink Soda Disp Local Waste Hand Sink Coffee Maker Clothes Wshr F Prep Sink Comm. Ice Maker Bidet Serv Sink Site Drain Beer Tap Int Grease Trap Roof Drain Classrm Sink Ext Grease Trap Standp Rec Surgeons Sink R.P.Z. Valve Eye Wash Stn Breakrm Sink Shamp Sink Wtr Sewer Mtrs Dip Well Flr/Wst Sink Deduct Meters Hose Bibs Wtr Usage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer if" p~ ~ I ~ Water Service 07/07