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
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