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Home My WebLink About0127345-Plumbing (repair water lateral) .' OSHKOSH ON THE }^lATER Job Address 232 236 N CAMPBELL RD CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD No 127345 Contractor BERNDT EXCAVATING Owner RIVERWATCH LLC Create Date 10/18/2007 Category 430 - Industrial-Exterior (laterals) Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Repair leak on 2" water lateral. of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Plan Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink Shamp Sink FlrlWst Sink Catch Basin Wash Ftn Urinal Standp Rec Ice Maker Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs i Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size 2" Material Copper Type # Conn. Type $1,000.00 Plan Approval Parcel Id # 0608040000 $0.00 Permit Fees $50.00 0 Permit Voided I Lateral Repair Date 10/18/2007 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 hol e ( and to se re ny ne a approvals b 'n such activity. Signature Address 2527 W WAUKAU AVE OSHKOSH Date /o~/ cf ~O WI 54904 - 0000 Telephone Number 235-3331 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 P 0 Box,,1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax: ('920) 236-5084 ~ OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for apermit 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 $100.00 plus the normal permit fee, which ever is greater. OR Ifvou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here ifvou want this processed throuf!h vour account n ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. " Job Address.-:.$).., Co>?! t~ ~ Valne (I.d,dl" ],bomd "","'",) I Ci 00 (l D~te 10 ::/p r C ! Owner IF"'. r, _ i __ _ Contractor )7,0 Y"' ,,0<'7 EJ:cQ vof,: ~ -1-.., <' DSingle Family DDuplex '-MUlti-FamilY DRental DCommercial DIn ustrial ~ Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect iJ PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Breakrm Sink Dip Well Hose Bibs Drink Ftn Catch Basin Wait. St. Wash Ftn 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 Stn Shamp Sink Wtr Sewer Mtrs FlrlWst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work VV' &l'f c. ;-. ! ~ 0. p- Size Material Type # Conn. Type Sanitary Sewer Storm Sewer VVater Service ~ It eel . G-- r K 07/07