HomeMy WebLinkAbout0127353-Plumbing (lateral)
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OSHKOSH
ON THE WATER
Job Address 327 N LARK ST
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Install 4" storm lateral.
of Work
Contractor M P KELLY
Valuation
Issued By
CITY OF OSHKOSH
No
127353
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner GREGORY D WUEST Create Date 10/18/2007
Category 401 - Residential-Exterior (laterals) Plan
Water Softner Wait. St. Shamp Sink Coftee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Size
Type
Conn. Type
Material
#
Sanitary Sewer
Storm Sewer
Plastic
New
Lateral
4"
Water Service
Parcel Id #
1609880000
$1,316.00 Plan Approval
$0.00 Permit Fees
$50.00 D Permit Voided I
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 holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 665 N MAIN ST
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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
@....
~
OJHKOfH
. ON THE WATER
Contractor
DM~\lti~li'a..Ii.Jy
Date CVd:Wa7
P lumbingPermitApplication
I hereby apply for a pennit to do and install the following plumbing on thepretilises hereinafter described, the work tocontcQtrr)cJo the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to. and are bound by said stattttes. .
· Application(s) and fee(s) can be broughft{) Cityijall,Roorii205ormailedf6JhspectionServices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing workwithoutpennit(s)willre:sultin fees being doublelior $100.00 plu~the
nonnal pennit fee, which ever is greater; '. . . .
. OR~.
I ouare a contractor artici alin in the Permit Fee AccountSstemandhaveade check here
if vou want this TJrocessed throughvo';'Lr account n
Job Addre~s
Number of Fixtures:
~
:Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSirik
Surgeons Sink
BreakrmSitik
Dip Well
~
DrinkFtn
Wait.St.
Ice Chest
:Exam Sink
.~~i!'!"Y Sink
H~n~)~ir~ '.
F Prep'Sirik
. ServSink
'Intqrea~e T.rap
',8xtiGi;l:iise:ttap
KP,Z.Vaive
.~hampSitik
dHr/WstSink.
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof-Drain
Stiitldp Rec
. Eye. Waiihstn
Wtr SewerMtrs
. DeduGtMeters
,
I
I
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink'
Sterilizer
Misc.
Fixtures
.~
~
Size
, c .. .
. .
[JElectrl~Insta,llatio'
. (I[Replacement)
Electric Contractor
Use I Nature of Work.
Material
TyPe
DEPARTMENT OF
COMMUNITY
INSPECTION SERVICES DIVISION
Sanitary Sewer
:Storm.8ewer .'
J/it
(jJYf!--- ~~JI#(~S
Water$ervice
4/05