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Home My WebLink About2008-PlumbingCITY OF OSH~COSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER No 128383 Job Address 1424 S MAIN ST Owner DONALD B CONDON ETAL ESTATE Create Date Contractor COATS, KEITH Category 430 -Industrial-Exterior (laterals) Plan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work 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 Sink Ice Maker Breakrm Sink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By Date 01/07/2008 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(~~ and t se ure any essary~a~,pp~ro-vats before starting such activity. Signature ~/ /~e~~ (~ Date /~" ~?~ " Address 8424 SHIRLEY CT Agent/Owner WINNECONNE WI 54986 - 9533 Telephone Number 920-582-3975 01 /07/2008 To schedule inspections please call the Inspection Kequest line at Z36-57Zt3 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division PO$ox1130 Oshkosh, WI 54903-1130 Phone: (920} 236-5050 Fax: (920) 236-5084 s ~ ~ i 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 if you want this processed through your account n ** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical Contractor or Homeowner (for installations allowed to be perfrnmed by the homeowner} must be submitted with the permit application. Applications submitted without at EN when Bach is required, will not be processed for Permit Issuance and will be returned for completion. j Job Address /'Z/off ~~ 5': I'i'i ~~%?/ Value (Inotndmg tabor and ~naterials> ~ ~ 6 ~A . ~'y Date / ° ~ ~ d `~ Owner ~yi2- dory C~ ~ ` ~ Contractor `~~-/ ~ ~' ~ ~fiS Ca ~i9~ .Z'~~-, ^Single Family [~Duplea ~~Mulii-Family ~RentaI commercial Industrial Number. of Fixtures: $athtub Disposai Drink Ftn Gatch Basin Whirlpool Dishwasher Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toiiet Ejector/Grind Exam Sink Gar Drain Res. Sink Water Softner Scutry Sink Soda Disp Bar Sink Local Waste Band Sink Coffee Maker Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker ^ Gas 0 Elect ~ PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Iat Gte~se Trap Roof Drain Floor Drain Classrm Sink Fact Grease Trap Standp ltec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Sm Lab Sink Breaktm Sink Shame ,Sink Wtr Sewer Mtrs Plaster Sink Dip Well FirlWst Sink Deduct Meters Sterilizer Hose Bbs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Farm) Use /Nature of Wark ~ >4 7~' ~ ~`P /' ~ ~ ~ ~ Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service ~~~s--U a~~o~