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
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