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HomeMy WebLinkAbout0132833-Plumbing (laterals)CITY OF OSHKOSH No 132833 OS~-iKOSH ON THE WATER Job Address 860.874 NEBRASKA ST Contractor O'NEILL ENTERPRISES INC PLUMBING PERMIT -APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn 4" sanitary sewer, 1-1/4" copper red plan. Sanitary Sewer 4" Storm Sewer 1-112" plastic water lateral from stop box to building per Material Type # Conn. Type Plastic Lateral 1 New Water Service 1-1/4" Copper Lateral 1 New 1-1/2" Plastic Lateral 1 New Parcelld # Valuation $3,000.00 Plan Approval $0.00 Permit Fees $100.00 ^ Permit Voided Issued By Date 09/12/2008 In the performance of this work, I agree to perform ail 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 522 W 6TH AVE Agent/Owner OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 t o scneaule 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. Owner MK-1 LLC Create Date 09!12/2008 Category 430 -Industrial-Exterior (laterals) Plan Z3-325-0808-P Wait. St. Shamp Sink Coffee Maker Ice Chest FIrIVllst Sink Int Grease Trap Exam Sink Catch Basin Ext Grease Trap Sculry Sink Wash Ftn RPZ Valve Hand Sink Urinal Eye Wash Statn Plaster Sink Standp Rec Wtr Sewer Mtrs Surgeons Sink Ice Maker Deduct Meters F Prep Sink Gar Drain Wtr Usage Mtrs Serv Sink Soda Disp 09/10/2008 17:05 FAX 19202302008 ONEILL ENTERPRISES 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 I~jool/ool I hereby apply for a permit to do and instal( 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 pernut(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR ** 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) nmst be sabmitted with the permit application. Applications submitted without an EIV when sach is required, will not be processed for Permit Iss9uance aad will be returned for completion. Job Address -- O Value (Including labor and macoriats) O ~ Date Owner Contractor ~ - ^Single Family ^Duplex ^Multi-Family ^Rental Commercial ^Industrial Number of Fiztures: Bathtub Disposal Drink Fin Catch Basin Whirlpool Dishwasher Wait SC Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet EjectoNGrind Exam Sink Gar Drain Res. Sink Water Softrret Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wshr F Prcp Sink Comm. Ice Maket ^ Gas 0 Elect O PwrVnt Bidet Serv Sink Site Drain Shower g~ Tap Int Grease Trap Roof Drain Floor Dnun Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.PZ. Valve Eye Wash Stn Lab Srnk Breakrtn Sink Shamp Sisk Wtr Sewer Mtra Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mfrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work I Y17~".~, p~ ~J~}Q/1 ~ Ll~a.~ Size Material Type # Conn. Type Sanitary Sewer !-, l l P~~ S~ C Storm Sewer Water Service o~io~ WARD: ~ ~ r°-~ DATE: ~-/~--a.~ DHL#: LOCATION: ~foC~ ' ~ ~~~(1e~~~~ ~ WORK DONE: ~c~v, ~~y ~ T.~ .~ ``, TAP CUT-IN SIZE: / /y CONTRACTOR: Q sy~~; ~ INV#: QTY: S ~a~ .~ ~ ~ -~ ~~'~iy ~ ~~e ~ .S ~ 1 PARTS: ~~ ' ` ~ ~~ r ~~ ~~ ~~ ~~ ~ '~~" C~,~b s,~~J ~~ arc 7~ ~~ ~~~~ ~.~~~ fie MEASUREMENTS: 3.2' ~, ~ ~'. !'~k~, PERMIT#: BLACKDIRT: YES CONCRETE: YES DETAILS: - GRAVEL: -~ REMARKS: Perpli-~'~ ova ~ a~ WORKERS:~~ B; t~~ Job ~ rc~5 ~