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Home My WebLink About0133852-Plumbing (laterals) g CITY OF OSHKOSH No 133852 OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD ON THE WATER Job Address 2103 MINERVA ST Owner HRS DEVELOPMENT INC Create Date 11/05/2008 Contractor FORREST PLUMBING LLC Category 401 Residential- Exterior (laterals) Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use /Nature NSFR/ Exterior laterals with tracer wire. of Work Size Material Type Conn. Type Sanitary Sewer 4" Plastic Lateral 1 New Storm Sewer Water Service 1 -1/4" Plastic Lateral 1 New Parcel Id 1212680000 Valuation $2,000.00 Plan Approval $0.00 Permit Fees $100.00 Permit Voided Issued By Date 11/06/2008 In the performance of this work, I agree to perform all work pursuant to rules goveming 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 Agent/Owner Address 5210 N LOOP RD LARSEN WI 54947 9778 Telephone Number 920 836 -3986 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. OSHKOSH ON THE WATER Job Address 1902 ROOSEVELT AVE Contractor FORREST PLUMBING LLC 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 Ciassnn Sink Breakrm Sink Ejector/Grind CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner HRS DEVELOPMENT INC No 133852 Create Date 11/05/2008 Category 401 -Residential-Exterior (laterals) Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Flr/Vllst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ Valve Beer Tap Hand Sink Urinal Eye Wash Statn Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Sterilizer Surgeons Sink Ice Maker Deduct Meters Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Drink Ftn Serv Sink Soda Disp Valuation $2,000.00 Plan Approval $0.00 Permit Fees Issued By Date 11 /06/2008 In the performance of this work, I agree to perform atl 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 appiignt to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address 5210 N LOOP RD T. . AgenUOwner LARSEN WI 54947 - 9778 Telephone Number 920-836-3986 • ~ a~••~••••~a ~~~aNe...~~„a N,~ds@ cau me rnspectron reequest line at Z3t3-5728 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. $100.00 ^ Permit Voided t 31 08 11:58a FORREST PLUMBING 920-836-3986 p.1 City of Oshkosh ~P~~ Services Division P O $ox 1130 Oshkosh, WI 54903-1130 Phone; (920) 23tr505U Fax: (920) 236-5084 Plumbing Permit Application ~~ HKOlH I htnrby apply for a permit to do and install the following plumbing on the premises hereinaftp~ described, the work to conform to the Wisconsin State Pinmbmg Code, in the performances of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be b t to C' _ Oshkosh WI 54903-1128. Comm~encmg work ~ pmt() wi ~~ in few ~ 8 ~ ~ ~ $ Boo ~ pgus the normal permit fee, which ever is greater. OR Job Address ~_I~~ ~P~p~~~ C ~a~~ `U o ~' Value(1>telttelinslabora®ametetials) Date ~g Owner `c C Contractor ~,~, . Single Fatflu7y lex []Multi Family ~ ta! ~ Comm aI ^Industrial Number of Fnxtures: Battentb Dual Wltitlpool Diahwasiter Dtmk Fm catch Basin ~ _ _ wa;t. st. wash Fm Toilet >~bdfixiad ~ Chest UsinaL Res. Side Exam Sink Gar Dstan Water SnBotr Scuky Smk Hat sink Luca! waste soda water Hetuer Ii~d situ[ Cot~ee ~Q Clothes wsLr E. l~ Sint U CAS :.] Elect U PwrVnt Cot>Qn. ltx Malta Shower Bich Sexv Sink Site Drain F1oorDraim BecrTap rnt Cceau ?rap RooCDtsin ~ Tray Chtesnm Sink Fat Grease Trap Steg~eeons Sink Smndp Rec Lab Sint R.PZ. Valve Eye Wash Sta Bteatrm Sint Shamp Smk Plaster Sink Wtr SeR~erMtts Sterilaer ~ writ FtrNYst Sint Deduct Maeu ~B;bt: Masc. w>r vase nsus Fixnaes Electric Contrat~or OR QElectric IsstaDation Verification form attached (lftteptscemeat) Use /Nature of Work T_n c~-n `1 ~n ~ . v~ r- ,; ... ~ _ _ 1 1 _ _ I _ Srrtee Material Y Sewer ~ ~Vl. ~ C~~ # Conn. Type Stot~ Sewer Water Service ~ ~ ~ t i-' ~ ` 11/OS Qe ~ tr~s pec~o n "T hursa Nod . l~, Zoog 1~-ooat~, C a,t I ~5fi gg+~~pap