HomeMy WebLinkAbout0127283-Plumbing (water service)
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OSHKOSH
ON THE WAT,ER
Job Address 663 BOYD ST
CITY OF OSHKOSH No 127283
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GENE UJANET A KUHNS JR Create Date 10/16/2007
Plan
Contractor MOREMAN PLBG & HTG SERVICE INC
Category 401 - Residential-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Ree
Water Heater Classrm Sink Sterilizer Surgeons Sink lee Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Gri nd Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Repair 3/4" lead water service.
Size Material Type # Conn. Type
Sanitary Sewer
~0 Storm Sewer
" '0Y)
Water Service 3/4" Lateral 1 Repair
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Parcel Id #
0405930000
Use/Nature
of Work
C\S
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Valuation
$1,100.00 Plan Approval
$0.00 Permit Fees
$50.00 0 Permit Voided I
Issued By
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 holder( ) and t secure an ne ssa approvals be re starting such activity.
Signature
Date 10/16/2007
Date
/v --)G --0 I
Address PO BOX 1325 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, VVI54903-1130
Phone: (920) 236-5050
Fax: (920j236-5084
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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
I~ ~ou are a contractor partie ipating in the Permit Fee Account System and have adequate funds, check here
i__ou want this orocessed through your account n
17, d .ff
Date /tf'/..J-tJ7
DDuplex
Contractor
DMulti- Family
Dlndustrial
~ner
ringle Family
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 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 W ork ~41;' ~ f~ k.rVf'U./
Size Material Type
#
Conn. Type
Sanitary Sewer
VV ater Service
)!/'
Le~
/,1&,,1
I
N~if
Storm Sewer
07/07