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Home My WebLink About0127284-Plumbing '. OSHKOSH "ON THE WATER Job Address 535 W 17TH AVE CITY OF OSHKOSH No 127284 PLUMBING PERMIT - APPLICATION AND RECORD Owner KATHLEEN BENKOSKE Create Date 10/16/2007 Plan Contractor MOREMAN PLBG & HTG SERVICE INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 401 - Residential-Exterior (laterals) Coftee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs NSFRI Laterals with trace wire. Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 New Storm Sewer Water Service 1-1/4" Plastic Lateral 1 New Parcelld # 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/Gri nd Drink Ftn Serv Sink Soda Disp $2,300.00 Plan Approval $0.00 Permit Fees $100.00 D Permit Voided I Date 10/16/2007 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 hold res a d to secu e antD; a appro Is before startin such activity. Signature i Date 10- J f::,-D7 Address PO BOX 1325 OSHKOSH WI 54903 - 1325 Telephone Number (920) 231-9191 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 t Phone: (920) 236-5050 Fax: (920) 236-5084 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 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 Ifvou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here if vou want this processed through vour 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. Job Address 5'""15 1"'/ /7~ /~ .. - DDuplex Contractor DMulti-Family Value (Including labor and materials) .2.?~. CI /) ~,r~ ,;.7 a~ DRental' DComm cial Date/II :1(' -d) Owner ~Single Family Number of Fixtures: Dlndustrial Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater Clothes Wshr o Gas 0 Elect C PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Drink FIn Catch Basin Wait Sl. Wash FIn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Comm. Ice Maker - Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash SIn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work &re"b Pc.--- N.f f",z Size Material Sanitary Sewer o/p ~~JI'1., Storm Sewer 1/ 14 11 Water Service / ~ Type b:, f~*t / # I Conn. Type ,/Vt' W L \ I .#<1...1 07/07 -i ~ I 1.-7' ~'8'Y 'SJl-L- ff!fMl~ I If WARD: DATE: }!J- :;)';)-07 DHL#: LOCATION: 5'9 fA) L7+-11 WORK DONE: j fl /-ap bill (/ /I'L 17 t-h. s -1-, INV#: QTY: S.3DDJ. --L $.3D II -L- SS D 17 ) S1;fJO! 3,51 S3D7 h 1 ~~\., GRA VEL: REMARKS: [f - 1-;; J11Q ij/} TAP 'K CUT-IN SIZE: / U CONTRACTOR: /JJcL/ltl 5chfVL ;cl I PARTS: I" e br (> ~.tD~ / \'' . . r.Urb SfoD j S fDO hl>X -~- t'o d j 1 .. 1'1 CDDDer!"' J I I . t 1/ I i J -, 1 b J' .. f .x /4 . a/)u' . e: MEASUREMENTS: :lS( 'U"llf- ~1L-' -j , ~ < ,$ .' It) fJ" J" PI L p.er Tt:. '. .( {l11{/)(\ UlbJr CY'-rarp~n3rnQ(hfni'-' 10D'00 Ve.hIL\c tJscf./ IS.OO PERMIT#: BLACKDIRT: YES NO CONCRETE: YES NO DETAILS: .. P-etri'\'( + ::tt J J{) ~ 8 WORKE:ilS: ~ J!; if J ~1 {\r~0t e<:"'l 1\...~s" c, ~J r?S~ €....\i-e'. c- o} es-u, c.e ~~~ ir"~e~; ~ \:H~ <::..~ '\: H\~~~ /,,'JJ?') ,f' t ~ rn 0;.. {. ~^<... ~