HomeMy WebLinkAbout2008-Plumbing CITY OF OSHKOSH No 133814
OSHKOSH . PLUMBING PERAAIT -APPLI~ATION•AND;REGORD
ON THE°WATER ,:.. .~ s , ..
Job Addrds5 ~ t9Q2'Ftt3OSEVELT AVE ~ Owrer. HRS't7EVE4QPM~NTINC .:r, . ,_, .: ',` Cfdatf; Date _:;11/05/2008
Contractor FORRE ST PLUMBING LLC Category 401 -Residential-Exterior (laterals) Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Dispoeal Bidet Sculry Sink - • . Wash Ftn RPZ Valve
,Res. Sink .Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
'~ . ~ 'Bar Sink Sump Pump Lab Sink Plaster Sink _ Standp Rec ~ Wtr~Sewer Mtrs
WaterHeater Classrm`Sink : Sterilizer Surgeons Sink ~ '. • Ice'Maker - 'Deduct Meters
'Site -Drain ~ ~ Breakrrti;Sink Dip Well F Prep Sink ~ ~. r Gar. Drain ; Wtr t158ge Mtrs
Roof Drain Ejector/Grind Drink Ftn Serv Sink ~ ~ Soda Disp ,
-_ ,
,~~ Misc.
Fixtures - ,;
~~ tary Sewer and water lateral within property for the intention of reuse. Plumber and owner are responsible
of Workure cendition for reuse poor. to construe .
lion of new dwelling..
Sanitary Sewer
Storm Sewer
Water Service
Size
Type #
rsee laterals are in
Parcel Id #
1212680000
Valuation $500.00 Plan Approval $0.00
Issued By
Date 11 /05/2008
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 sVongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 5210 N LOOP RD
AgenUOwner
LARSEN
Permit Fees $25.00 ^ Permit Voided
Date
WI 54947 - 9778 Telephone Number 920-836-3986
~ sanrsaure rnspecirons grease cau the mspectlon 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.
v 05 08 08:48a FORREST PLUMBING 920-836-3986
Nou, 5. 2~Oa 8:45AM No.46J8 ~. I
' REQUEST FOR EXCEPTION TO REQUIRED
SEWER AI\'D WATER AHANDONNIENT REGU7,ATIONS
Date ~~. y o g'
Addressafbuildmg ~~~~ ~i~r~y~! ~~,~
Name of Owner .~.,~,. r/rtr ~ .
Address of owner
The undersigned Master Plumber requests that We requirement for abandonment of the
sewer and water laterals for this address not be required to meet the ordinance for
abandanaoent at tba property lino hefnre raze or removal of the served structure. (check
one or provide Yn[ormatloe)
• The utilities avill be teased for new wnswction at.this site ~ovithin twelve months of
the date of request for exception. ffthe utilities will not be reused within this bane
frame tt,ey will be properly abandoocd at the property lint per ordinance
requirements no Later than twelve months from date of this request.
a • The utilities will be properly abandoned after the structure is removed to make the
utilities accessible for abandonment. The utilities will be secured against damage
during demolition and until they can be abandoned to meet the requirements of
Otdinanee. (Nat to eYCUd 60 days)
• Other reasons for the requested exception: - J"i~ ~~ e~.ehCr~~6..
d~ ~stt~~./ / 1 ,wto.ilrc.f f~ ~. l.r~!/'rt.! I.Yir
~~aiweos ~•rene o en ~ try .
Master Plwn6er ~ ~~ ~ 1~! Zr~,~~ Date
Master Certificate Number ~~ ~ ~ s ~ '
11~lailing address SZ~ ~ 1(~.~ `.[~~ ~ ~ ~~
~.r~a ~ . ~~~ ~ ~a ~~
Appxoved:
~~/~c tam jut j~~e.R oto
Data ~~- y- ~~
Po=tat° Fax Note 7671 °aia . ti• i tr w~s- /
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c~a. co.
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PGansM~ yo~ Phanal 1 ~ ~' ~~~
F•iC1e 1T7~ ' 3 9 Y` Fax i )-~ Z ' ~>tf Y
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