HomeMy WebLinkAbout0128121-Plumbing (laterals)
e CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 400402 E PARKWAY AVE Owner SPARR INVESTMENTS LLC
No 128121
Create Date 12/10/2007
Contractor KOCH PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Category ~_~=-~~~sJrJ~~~~erior (I~ter~~~_____"__ Plan
Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
...."
'"
Use/Nature iReiay-saiilfarY"Sewerand install storm lateral to -c"aTcTi-c1earwafer-sump.----
of Work .
i
I
!
l,___,_,_,______"_,__"_"_~__,___"__"_"_ __ _,___,
Sanitary Sewer
Size
4"
I
" ___.__.._.__. .___.._._._.._._--l-___._...__._..___.__.___.__.___
Material Type # Conn. Type
Plastic Lateral Relay
Storm Sewer
4"
Plastic
Lateral
New
Water Service
Parcelld #
0405400000
$100.00
Valuation~~~,&OO.oO Plan Approval ________~.Q:.Q.Q Permit Fees
Issued By
Permit Voided
Date 12/10/2007
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.
Address 2005 DOTY ST
Signature
J
i
Date
Agent/Owner
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
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.
~i
t
~ i'C 10 O~ 12:10p
!-,.,
.. '"Cn..'of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
Clarence Koch
(920)
235-0282
p. 1
~
OJHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a pennit 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 fuspection 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
Ifvou'are a contractor TJarticipatinf! in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account 1XI
Job Address40Z E ,.,ol'1a/c~/lr
Owner LAaR~ Z?,r:;c/cp..s
DSingle Family Dnuplex
t:/8
Value (Including labor and materials) /SC)o -
Date 12-/0-07
Contractor
/C"oc//
h&a
DMulti-Family
DRental
J:8Commercial
DlndustriaI
Number of Fixtures:
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
Disposal Drink Ftn Catch Basin
Dishwasha Wait. SI. "---- 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. lee 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
Brealam Sink Shamp Sink Wtr Sewer Mtrs
Dip Well FlrlWst Sink Deduct Meters
Hose Bibs Wtr Usage MlTs
Size
OR DElectric Installation Verification form attached
'111 - (If Replacement)
~t<7 ?/10) .:5/;./V /r/f /t! 0/ ~.4/,.c:,e
sr/?/c. TCJ;'t-h--T ~~e'Z.
Material \ ,Type # Conn.
y
~4
Electric Contractor
Use I Nature of Work
Sanitary Sewer
tl~
Storm Sewer
Water Service
11/05