HomeMy WebLinkAbout0128287-Plumbing (laterals)
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.' . CITY OF OSHKOSH No 128287
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2231 WESTOWNE AVE Owner OSHKOSH WESTOWNE LLC Create Date 12/27/2007
Contractor VALENTINE READER PLUMBING INC
Category 430 - Industrial-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst 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
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Adandon sanitary sewer and water lateral for reuse.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1621510300
Use/Nature
of Work
Valuation
$250.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Issued By
Date 12/27/2007
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/Jto fecure an)J. ne~ssary approvals before starting such activity.
Signature llid ef?b Date
Agent/Owner
1'J-fJ?-o7
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.
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REQUEST FOR EXCEPTION TO REQUIRED
SEWER AND WATER ABANDONMENT REGULATIONS
Date /tt?t...2 7 "07
Address of building .J- 2. 3) Ves raw/! ~
Name of Owner ,/ / ~ a..-! er
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Address of owner
The undersigned Master Plumber requests that the requirement for abandonment of the
sewer and water laterals for this address not be required to meet the ordinance for
abandonment at the property line before raze or removal of the served structure. (Check
one or provide Information)
The utilities will be reused for new construction atthis site within twelve months of
the date of request for exception. If the utilities will not be reused within this time
frame they will be properly abandoned at the property line per ordinance
requirements no later than twelve months from date of this request.
. The utilities will be properly abandoned after the structure is removed to make the
utilities accessible for abandonment. The utilities will be secured against damage
during demolition and until they can be abandoned to meet the requirements of
ordinance. (Not to exceed 60 days)
. Other reasons for the requested exception:
(Contmue on the reverse Side of form If necessary)
Master Plumber Chqd fe4df'r
Master Certificate Number 9 ZJ c> r S"
Date / IJ -a-7-0 7
Mailing address
tJ dO /~ r;;:;/fd~.rA/ iJ/, 'v:...t'
Approved:
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Date /cJ. - .:2-"7 - 07
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