HomeMy WebLinkAbout0128316-Plumbing (abandon lateral)OSHKOSH.
ON THE WATER
Job Address 2021 OREGON ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor RADTKE CONTRACTORS INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Owner CONVENIENCE STORE INVESTMENTS
No 128316
Create Date 01/03/2008
Category 401 -Residential-Exterior (laterals) Plan
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FIr/Wst Sink
LndryTray 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 Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Valuation $1,000.00 Plan Approval $0.00
Issued By
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Date 01/03/2008
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 peyr~'jt application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) d to secure ~ necessary approvals before starting such activity.
Signature
Date 1- ~~ d~j
Agent/Owner
Address 6408 CROSS RD WINNECONNE WI 54986 - 9731 Telephone Number (920) 582-4114
Permit Fees $25.00 ^ Permit Voided
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.
Jun. 17. 2445 8;47AM
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI549Q3-1 I30
Phone: (920) 236-5050
Fax: (920) 236-5054
inspection services No. 1632 P. 1
nsv rtiF w,as~a
Pturnbing Permit Apptioation
I hereby apply far a permit to do and install the following plt>snbing oII the premises hereinafter described, the work to conforn>; 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, Koom 205 or mailed to Inspection Services, PO Bax ! l2fl,
Oslt3cos3t WI 54903-! ! 28_ Commencing work wit}tou# pertni#(sj will result in fees being doubled or $ I OO.OQ plus the
,normal permit fee, which ever is greater.
OR
If you area contractQr,ngr icinatin1;_.in thgWP~rmf Fee ilccnunt ~yrtem and have adequate fu~-,ds,, check here
.10~ AL~dress 2 G ~ ( Q re 4~ r. Valne (h~cluainglaborsndmat«;ais) /, DaQ =~ Date_f~--+Z I -~3~
Owner ~ " { ^,~,_' % ~ ; ~ C;ontractoir ~r~ 1' ~ c. ~i, t~.c t~,-~- 5 `
~Si~gle Family QDuplex Multi-Family []Rental QCommercialIndustrial
rlaianber of Fixtures:
Bathtub t~i4pnsal Think E•Yn Catch liaain
~ir]lrc~ol t)ishwashcr Wait St Wach Hai
l„svatory Sump Pump Ice C:hazi throat
Toi1Ct Hjcctnr!('srind Y.xam Sink Ciar lhain
tics-Sink Water $nftncr $eulry Sink Sods thm
Bar Sink t.ncal Watte .Hand Sink C'affee Ntakcr
Water licatcr t'.lothac Wshr 1+ Pre}a Sink !ce Maker
U Gas E'11;lect ^ PwrVnt Bidet Sere Sink Site Ihain
Shower F3ccr'rsp tnt C.3rcase'i'rsp ltonf Drain
Floor Drain (;lassrn~ Sink fsxt Cireaac'liap Standp ticc
Lndry Ttay Surgeons Sink R.P.7 Valve tiyc Wash Set
I.ab Sink Rrcakrrl Sink $]tan~p Sink Wtr Sewer M>rs
PlasterStnk Dip WetE Fir/WstSink
sterilizer ~ Deduct Meters
Mi~• Wtr lUsage Mtrs
Fixtures
electric Contractor OR QEIectric installation Verification form attached
{if ReplFtccraetti)
Use / Mature of Work ~ ~~c 1"er q~ ~~,er- ~ (~ ,(,~ j.'~,
Sin Material Typc {~ Conn. Type
Sanitary Sewer ~
Storm Sower
Water Service