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Home My WebLink About0132530-Plumbing (laterals)OS~iKOSH ON THE WATER Job Address 3900 EDGEWOOD RD Contractor TRICO EXCAVATING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Owner MICHAEL K/LESLIE C HERRING No 132530 Create Date 08/27/2008 Category 401 -Residential-Exterior (laterals) Plan Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest Flr/Wst 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 $1,000.00 Plan Approval $0.00 Permit Fees Issued By Date 08/27/2008 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~nd~to sere nece~ry appro~efore starting such activity. Signature Agent/Owner Address 5400 N RICHMOND ST APPLETON Dated ~4'~ WI 54913 - 0000 Telephone Number 920-739-6624 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 performed within two business days from the time the project is ready. CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs $150.00 ^ Permit Voided City of Oshkosh Inspection Services Division POBox1130 Gshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing Permit Application O HKO H ON THE WATER [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 Participating in the Permit Fee Account System and have adequate funds. check here if you want this processed through your 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 PerQm~igt Issuan~c je and wi/ll~ be,Qretarned for completion. ~+ ,_,,`~p Job Address ~7C/ d ~,(/"/~~~8~(J ~/f/ ~ Value (Including labor and materials) ~v~ ~ ~ Date ~ (JrV ner Contractor / ' tG ' ~ >Ing a Family ^Duplex ^Multi-Family ^Rental ^Commercial Industrial Number of Fixtures: Bathtub Disposal Whirlpool Dishwasher Lavatory Sump Pump Toilet Ejector/Grind Res. Sink Water Softner Bar Sink Local Waste Water Heater Clothes Wshr ^ Gas ^ Elect := PwrVnt Bidet Shower Beer Tap Floor Drain Classrm Sink Lndry Tray Surgeons Sink Lab Sink Breakrm Sink Plaster Sink Dip Well Sterilizer Hose Bibs Misc. Fixtures Drink Ftn Catch Basin Wait. St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink _ Comm. Ice Maker Serv Sink Site Drain Int Grease Trap Roof Drain Ext Grease Trap Standp Rec R.P.Z. Valve Eye Wash Stn Shamp Sink Wtr Sewer Mtrs Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Material Type # Conn. Type Sanitary Sewer 7 r N ~ ! !~ Storm Sewer Water Service ~ ~ r ~ t ` ~' l 1 o~/o~