Loading...
HomeMy WebLinkAbout0131659-Plumbing (laterals)OSHKOSH ON THE WATER Job Address 1430 ELMWOOD AVE Contractor FREUND EXCAVATING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work CITY OF OSHKOSH No 131659 PLUMBING PERMIT -APPLICATION AND RECORD Owner LOUIS E/PATRICIA A GLOVER Create Date 07/18/2008 Category 401 -Residential-Exterior (laterals) Plan Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Fir/V1/st 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 Valuation $3,600.00 Plan Approval $0.00 Permit Fees $50.00 ^ Permit Voided) Issued By Date 07/18/2008 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 Address 3135 DELHI RD Agent/Owner OMRO Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs WI 54963 - 9724 Telephone Number 920-685-2196 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 pertormed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing Permit Application 01HKO.IH ON THE WATER 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 WT 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 DarticiDatinQ in the Permit Fee Account System and have adequate funds check here tf you want this processed through vour account n ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EN when such is required, will not be processed for Pe~rJm2it~.I~ssuance and will be~~re~turned for completion. p- Job Address f 7 .~J ~L~ W~~/rYG Vallle (Including labor and materials) ~~~ ~ Date ~ -~g ~d y Owner Contractor ~iP,~'!~!/Y!J ,E.X~~/%~~i/V~ ~ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: Bathtub Disposal ' Drink Ftn Catch Basin _ Whirlpool Dishwasher Wait. St. Wash Ftn _ Lavatory Sump Pump Ice Chest Urinal _ Toilet Ejector/Grind Exam Sink Gar Drain _ Res. Sink Water Softner Sculry Sink Soda Disp _ Bar Sink Local Waste Hand Sink Coffee Maker _ Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker ^ Gas ^ Elect ^ PwrVnt Bidet Serv Sink _ Site Drain Shower Beer Ta p Int Grease Trap _ Roof Drain Floor Drain Classrm Sink Ext Grease Trap _ Standp Rec Lndry Tray Sur eons Sink g R.P.Z. Valve _ Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink _ Wtr Sewer Mtrs Plaster Sink Di Well p Flr/Wst Sink _ Deduct Meters Sterilizer Hose Bibs _ Wtr Usage Mtrs Miser - Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work ~ /T/ J~/~'JQ y ~S~(/~/~ /~~'~'-~ Size Material Type # Conn. Type Sanitary Sewer ,y ~r P j/C L,~~~~ ~ /P~~y Storm Sewer Water Service o~/o~