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HomeMy WebLinkAbout0131544-Plumbing (laterals)OSHKOSH ON THE WATER Job Address 825 835 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 Valuation Issued By Owner BAY VIEW PARK TWINDOMINIUM II No 131544 Create Date 07/14/2008 Category 401 -Residential-Exterior (laterals) Plan Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Flr/Vllst 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 t ~ 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 Date 07/15/2008 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 easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address PO BOX 1141 CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Agent/Owner APPLETON WI 54912 - 1141 Telephone Number 920-687-9178 s~~~~u~~e rnspecnons pease cau the tnspection 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 pertormed within two business days from the time the project is ready. $1,500.00 Plan Approval $0.00 Permit Fees $50.00 ^ Permit Voided 07/15/2008 09:21 9206879407 MR ROOTER PAGE 02 City of Oshkosh Inspection Services Division 1' O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5030 Fax: (920)236-5084 nu A' Plumbing Permit Application I hereby apply for a permit to do and install the following plunctbing on the premises heroinafter 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 feo(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Wl 54903-I 128. Commencing work without permit(s) will resuh in fees being doubled or 5100.00 plus the normal permit fce, which ever is greater. OR *~' Advisory -For applicable projects, an Electrical Installation Veri6cadon (E~ form, signed by the Elecerical Contractor or Homeowner (for installations atlowed to be performed by the homeowner) toast be snbtnitted with the peaait applicttNon. Appliications submitted without an Elv when such is required, will not be processed for Permit Issuances a~n/d~w~,ili~be / for eompletio~. ~S ~~ 7 F~`~"' ' Ji `n~ lua~ labor aoa materials ~ ~~ ~ Date Job Address p ms Owloer ~ . L `°-"r ~SZ ~. ~~ t-}- 2. Contractor .}~ P i~ O `~,,~ ~ ~ ~ .~.,. ~ - '-i OSingle Faatily Duplex OMulti-Family []Rental []Commercial []Industrial Namber of Fixtures: Bathtub Disposal Driok F4t Catch Basin Whirlpool Dishwasher Weil 5t. Wash Fm I,sveaory Sum Pump lee Cheat Urinal TOllet Ejoetor/Gfind Exam Side Gwr Drsin Ices. Sink Watet SO(ener $culry Sink Sods Diap Bar Sink Local Waste hand Sisk Cot~ee Maker Water Heater Clothes Wshr F Prep Sink Comm Ice Maker [~ Gas 0 Elea ^ PwrVnt Bidet Serv sink site Drain Shower ~. T~, Irn Grass Trap Roof Drain ~pOr Drain Claeerm Sink F.xt Grease Trap Standp Rx ~~ Tom' Sutaeotw Side RPZ. Valve RYe Wash Sm Lab Sink Brealatm Sink Shemp Sink Wtr Sewer Mae Plaster Sink Dip Well F1d1Nst Sink Deduct Meters Steriliser hose Bibs WG U9sge Mfrs Misc. Fixtures Electric Contractor (for projects not re4ulring an EIV Form) Use /Nature of Work Yyl.~.vL ~ 1,~w~ ~. d ~ s c(~.c~. a.Q ~ s't t) Size Material Sanitary Sewer Storm Sewer Water Service # Conn. Type 0/07 07/15/2008 09:21 9206879407 MR ROOTER PAGE 03 Q !V s L~Q .~ Y~ rr,, v. , s~.-.~ ~, 7 ~~ ~ o~