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HomeMy WebLinkAbout2007-Plumbing (lateral/catch basin) e 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 /?,f?j /~JIJ'C: J ~~~ 47~Gj 07/07