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Home My WebLink About0128312-Plumbing (temporary abandon)OSHKOSH ON THE WATER Job Address 82 E WAUKAU AVE Contractor MARCKS TRUCKING & EXCAVATING INC Bathtub Whirlpool Lavatory Toilet. Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work CITY OF OSHFCOSH No 128312 PLUMBING PERMIT -APPLICATION AND RECORD Owner GREGORY SlJOANN POLLESCH Create Date Category 401 -Residential-Exterior (laterals) Plan ___ Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FIr/Wst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Simk Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain EjectorfGrind Drink Ftn Serv Sink Soda Disp Valuation $2,000.00 Plan Approval $0.00 Issued By 01102!2008 Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Permit Fees $25.00 ^ Permit Voided In the performance of this work, 1 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 f t rt'n such activity Date 01/02/2008 easement holder(s) and to secure any~nec sary approvals be ore s a i g a%G ~ ~~ a v_~ Date ~ ^ ~ ~' ~~ Signature ~ ~ Agent/Owner Address W6905 DEERVIEW RD BLACK CREEK WI 54106 - 0000 Telephone Number 920-525-5787 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 POBox1130 ' Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 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 If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here ~you want this,processed throu~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 perf®rmed 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 an/d~will be returned for completiion. /l Job Address ~02 ~ Gt G't`l ~(~ Value (Including labor and materials) ~ d0(/ Date D ~ ~^ v Owner :]Single Family ^Duplex Number of Fixtures: Contractor ~°~~~~~e~s / d'G~z.~:~ ~'~~~ - ~ ^Multi-Family ^I~ental ^Commercial ^In ustrial Bathtub Disposal Drink Ftn Whirlpool Dishwasher Wait. St. Lavatory Sump Pump Ice Chest Toilet Ejector/Grind Exam Sink Res. Sink Water Softner Sculry Sink Bar Sink Local Waste Hand Sink Water Heater Clothes Wshr F Prep Sink ^ Gas ~ Elect ~~ PwrVnt Bidet Serv Sink Shower Beer Tap Int Grease Trap Floor Drain Classrm Sink Ext Grease Trap Lndry Tray Surgeons Sink R.P.Z. Valve Lab Sink Breakrm Sink Shamp Sink Plaster Sink Dip Well Fir/WSt Sink Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring a n EIV Form) Use I Nature of Work Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Stn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Type # Conn. Type Sanitary Sewer Storm Sewer ' Water Service o~/o~