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Home My WebLink About2008-Plumbing (laterals)OSHKOSH ON THE WATER Job Address 901 WITZEL AVE CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner BARBARA J SCHLIEVE No 131657 Create Date 07/18/2008 Contractor JOE DENOBLE SEWER & WATER INC. Category 430 -Industrial-Exterior (laterals) Plan Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures ; ,. Use/Nature of Work 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 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 4 Ext Grease Trap _ RPZ Valve Eye Wash Statn _ Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation $20,000.00 Plan Approval $0.00 Permit Fees $78.00 ^ 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 au rity to enforce easement restrictions of which it is not a party, if you perform the work described in this permit applicati n 't i an easement, the City strongly urges the permit applicant to contact the easement Ider(s and t ecur a ssary approvals before starting such activity. Signature Date -- ~"d Address 477 PODLASIK LN AgenUOwner DENMARK WI 54208 - 0000 Telephone Number 920-863-5528 a~nauu~a mspecnvns please cau 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. ,; City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920)236-5084 O HKO H ON THE WATER Plumbing Permit 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 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 WI 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 DarticiDating 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 EIV when such is required, will not be processed9for Permit Is//snance and will be returned for completion. ~/ JOb Add> e~/ I/" ~ ~ Value (Including labor and material Date T ~~'~i Owner /rrlcra+ w ~ ~' ~ Contractor `~_/x~U~~ ^Single 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. lce Maker ^ Gas ^ Elect ^ PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Stand Rec p Lndry Tray Surgeons Sink 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 Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Material Type # , Co .Type Sanitary Sewer ~ ,~ ~~~ Storm Sewer ~" ~>~'t/~~, '~~ f~a,.j ~ ~,,,f Water Service ~ ~ J'" ""1 o~/o~