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HomeMy WebLinkAbout0131543-Plumbing (laterals)CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 805 815 KEENVILLE LN Contractor MR ROOTER OF THE FOX VALLEY Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain .Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn No 131543 Owner BAY VIEW PARK TWINDOMINIUM I Create Date 07/14/2008 Category 401 -Residential-Exterior (laterals) Plan Wait. St. Shamp Sink Coffee Maker Ice Chest Flr/Wst Sink Int Grease Trap Exam Sink Catch Basin Ext Grease Trap Sculry Sink Wash Ftn RPZ Valve Hand Sink Urinal Eye Wash Statn Plaster Sink Standp Rec Wtr Sewer Mtrs Surgeons Sink Ice Maker Deduct Meters F Prep Sink Gar Drain Wtr Usage Mtrs Serv Sink Soda Disp Size Material Type # Conn. Type Sanitary Sewer Storm Sewer 1-1/4" Plastic Lateral 1 New Water Service istall sump pump discharge line connection to storm inlet basin. ***Debit account Parcel Id # Valuation $1,500.00 Plan Approval $0.00 Permit Fees $50.00 ^ Permit Voided Issued By ___ ~~~ Date 07/15/2008 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(s) and to secure any necessary approvals before starting such activity. Signature Date AgenUOwner Address PO BOX 1141 APPLETON WI 54912 - 1141 Telephone Number 920-687-9178 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. 07/15/2008 09:21 9206879407 MR ROOTER PAGE 01 City of Os~ilcosh lnspection'Services J.)ivision P O Box 1130 '~ Oshkosh, WI 54903-1130 Phone: (920) 236-5050 ~~ Fax: (920)236-5084 N Plumbing P®rmit 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 wisc4nsin State Plttmbit>,g Code, in the perfomtance of which all parries hereto agrce to and arc bound by said statutes. • Application(s) and fee(s) can be brought to City ball, Room 205 or mailed to inspection Services, PO Box 1128, Oshkosh wl 54903-1128. Commencing work without permit(s) will result in fees being doublod or E100.00 plus the normal pelnait fee, which ever is greater. OR ** A.dvispry -For applieablc projects, alw Electrical Installation Ye>IAB.cadoa (E~ form, signed by the Electrical Contractor or Homeownez (for installations allowed to be performed by the homeowner) mnst'be submitted with the permit appliication. Applicatio>ds submitted without an EIV when such is lregnired, wi11 not be plnpcesscd for Permit 1ss~tance arid. w>71 be retur>~ed folr completion. slue (Inc-uding labor and materials) ~ ~ ~ ~ Date ~~ O Job Address b S f 8 I~ ~L~-" ~' I I {v ~.~ (( Owner~`~l ~~ l ~ ~ - ~ `'~^~S Contractor 12 ~ l~ ~b ~ ^Siagle k'~mily Aup~ex ^1Vlultl-Family ^ enta] ^Commercfal ^Indust ' dumber of Fixtures: BatEtub Aispossl ~ prank Fm catch Basin Whirlpool pishwashd Wait St, Wash Fm Lavatory Sump Purt~ ', Ieo Cheat Urinal Toilet Ejector/Grind j Exam Sink Qar pram l~• Sink Water Sofbter Soulry Sink Soda pisD Sur Sink Local Wa9te Band Sink Coffce Maker Ward' kleata Clothes Wshr F Prep Sink Comm. Ice Maker 7 des U Elect 0 PwrVra Bidet ', Sdv Sink S~ Drain Shower Beer Tap ~ Ina Crease Trap Roof grain Floor~41 Classrm Sink Ext Oreaee Trap Standp Roc Lndry Tray Surgeons Sink R,F2. Yalve Eye Wash Stn Lab Sink )sreekrm Sipk I Shamp Sink Wtr Sewer Mfrs Plaster Siolc pjp Well Ptr/Wst Sink Deduct Mears Sterilizer dye Bbs Wtr Usage Mtn Misc. Fi,aurea Electric Contractor (for projects ant requiring as EIV Form) II Use /Nature of Work r ~~ S u- ~ C~. c 5 ~ ~ ~ ~ S~~ ~ c.~'~ ~ S i h Size Material Type # Cotln. Type Sanitary Sewer Storm Sewer j' Water 5arviee o~~o~ 07/15/2008 09:21 9206879407 MR ROOTER mill \11 LLB L N II x J aC ~ 8dS 8~S ~ ~ ~ ~ PAGE 03 825 g~S' w' 5 2` `,~rL c~~sc~~ e ,p. ~ p,e ,-~~ P, ~4~~~v~ th~r ~ S~W~ 1~ 7 ~~ ~ i~l. ~- nor S ~