HomeMy WebLinkAbout2007-Plumbing (lateral/catch basin)
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OSriKOSH
ON THE WATER
Job Address 1424 S MAIN ST
CITY OF OSHKOSH No 127401
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DONALD B CONDON ETAL ESTATE Create Date 10/22/2007
Plan
Contractor 4 WAY CONSTRUCTION
Category 430 - Industrial-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst 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 Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature Install 8" storm lateral and catch basin for lot drainage.
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
8"
Plastic
Lateral
New
Water Service
Valuation
$7,800.00 Plan Approval
$0.00 Permit Fees
$57.00 0 Permit Voided I
Issued By
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 s cure any ~c?sa ' p ovals before starting such activity.
Signature ~ ,
Address
Telephone Number
Agent/Owner
BERLIN
WI 54923 - 0133
Parcelld #
0304810000
Date 10/22/2007
Date
,/b;107
920-361-1403
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.
Ci~ of Oshkosh
. I!)spec'~ion Services Division
f 0 Box 1130
O~hkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
1 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
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed 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 Addres~YH r~ Jl-1::.,;'"
Owner
DSingle Family
DDuplex
Contractor
DMulti-Family
Date/t?- 2-2. ~o7
~) ~ -~7fj
DRental Commercial Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
C Gas D Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Value (Including labor and materials)
7?-c;1O
Disposal Drink Ftn Catch Basin ~
Dishwasher Wait.St. 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 Eye Wash Stn
Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Dip Well FlrlWst Sink Deduct Meters
Hose Bibs Wtr Usage Mtrs
Electric Contractor (for projects not requiring an EIV Form)
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
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