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
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