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Home My WebLink About0133393-Plumbing (laterals)OSHKOSH ON THE WATER Job Address 1318 WISCONSIN ST Contractor FORREST PLUMBING LLC CITY OF OSHKOSH No 133393 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 Owner SHOWCASE CUSTOM HOMES INC Create Date 08/20/2008 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 $4,000.00 Plan Approval $0.00 Permit Fees $100.00 ^ Permit Voided Issued By Date 10/10/2008 In the pertormance 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 5210 N LOOP RD Agent/Owner LARSEN Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs WI 54947 - 9778 Telephone Number 920-836-3986 ~ v scneauie mspec~ions 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. 09 08 08:OOa FORREST PLUMBING City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI SA903-1130 Phone: (920)235-5050 Fax: (920)236-5084 Plumbing Permit Application IBC H I hereby appky for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform io the Wisconsin State Plumbing Code, in the perfol~nance of which aII 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 1! you are a corstractor narticinatin2 in the Permit Fee Account System and have adequate funds, check here i„~vnu want this orncessed through pour account Job Address ° /I l\ 1 I.v UnSt ~ y~~. Value (ruluaing labor and materiais)~ Date ~ - ~` Owner Contractor o t' P ~ ~- 'Single Family ^Duplex ^Multi-Famay ^Rental ^Commercial Industrial Number of Fixtures: Hathntb Disposal Drink Ftn Catch Basin whirlpool Dishwasher W siL SL Wash Fta Lavatory Smnp Pump I:t Chest Drina[ Toilet Ejeeton'Grirtd Exam Sisk Gar Drain Res. Sink Water Softner Scnlry Sink Soda Disp Bar Sink Local Waste Hand Siak Coffee Maker WaterHeaur Clothes Ws1u F Prcp Sink Comm. I~x Malta U Gera U Eied J PwrVnt Bidet Srn Sisk Site Drain Shower Heer Tap Int Grease Trap RmfDrain E1oor Drain Clnssrm Sink Ezt Grease Trap Standp Rec Ladry Tray Surgeons Sink R.PZ. Valve Eye Wash Stn Lab Sink BrealQnt Sink Shamp Sink Wtr SewerMtrs Plaster Sink Dip Well Plr/Wst Sink Deduct bteters Sterilizer Hose Bibs W tr Usage Mfrs Misc. Fixtures Electric Contractor OR ^Electric Installation Verification form attached (tf Replacement) r Use /Nature of Work ~Y~.~o~. ~` ~(,~~ (~,y`1 d' S~t,~J~ f ' Gd,T-fi('~~ Size Material Type # Cona. Type Sanitary Sewer LJ It ~ ~ f G ~ 5 `~ X ~.1 ~,1~~ i ~I Storm Sewer Water Service `~ 1 ~~~ l' ~a t l( ~~1(1 ~~'~ 920-836-3986 p.1 11/05 wARD: ~-~~ DATE • ~c=' ; °~ DHL#: LOCATION: ~_ ~/`~ Gi,;T ~ ~s c~,-~ ~: ;-, WORK DONE• ~ ~~ Ja ~~ j " ~ D ~ c ~ti~ ~, ,~«~,•, TAP CUT-IN SIZE: ~ ~` CONTRACTOR: w ~'I K~ LXC~ ~~<%`~ INV#: QTY: PARTS: `` J S 30c~ _~ ~ C'~l~l~~'l Gc~'~ ~5/~D ~~ S s~ / .7 ~_ .S dap ~x ~Go RG~-D LCtbnr ~- I QOOi!-r~ rfl(~C~itl~ ~'1 i r 1-~ Lt S~ MEASUREMENTS: ~'o ~ ~ ~ S ~~~ss /, 1 CL' ~~ a? ~ ~,cl i5'ca/75.i PERMIT#: BLACKDIRT: YE NO CONCRETE: YE N DETAILS: GRAVEL: REMARKS: ~~ ~mi ~- ~ ~~ ~ 33 WORKERS: C L ~.~ P I,~O .~o~~~ ~ ~3