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Home My WebLink About0127362-Plumbing (deduct meter) e. OSHKOSH ON THlkwATER Job Address 495 PEARL AVE Contractor VALENTINE READER PLUMBING INC CITY OF OSHKOSH No 127362 PLUMBING PERMIT - APPLICATION AND RECORD Owner DAWES OSHKOSH LLC Create Date 10/18/2007 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 Category 440 - Industrial-Interior 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 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature Install water deduct meter and RPZ valve to serve irrigation system. RP valve shall be tested and registered with the Dept. per COMM 82. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service $2,000.00 Plan Approval Size Material $0.00 Permit Fees $25.00 D Permit Voided I Type # Conn. Type Parcel Id # 0102440000 Date 10/18/2007 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 holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address W 2015 INDUSTRIAL DRIVE KAUKANA WI 54130 - 7517 Telephone Number 920-788-2494 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 Os~J<osh, WI 54903-1130 Phofle: (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 UyOU are a contractor particivating in the Permit Fee Account System and have adequate funds. check here if you want this vrocessed through your 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 yy ~ ,,~/ Value (Including labor and materials)~' p Date/~ytf-#7 d/~~~ - ~~8/ DRental ~ommercial Dlndustrial DDuplex Contractor DMulti- Family Owner DSingle Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater C Gas 0 Elect iJ PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink S teril izer Misc. Fixtures Disposal Drink Ftn Catch Basin Dishwasher Wait.S!. 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 -L Eye Wash Stn Breakrm Sink Shamp Sink Wtr Sewer Mtrs Dip Well Flr/Wst Sink Deduct Meters Hose Bibs WtrUsage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work ;p t/~/)/'-(...- ~ l,..;;' Material ~ Size # Sanitary Sewer Storm Sewer Water Service 07/07