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Home My WebLink About0134066-Plumbing (laterals)OSHKOSH ON THE WATER Job Address 303 OXFORD AVE CITY OF OSHKOSH No 134066 PLUMBING PERMIT -APPLICATION AND RECORD Contractor FREUND EXCAVATING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Valuation Issued By Owner CITY OF OSHKOSH REDEVELOPMENT AUTHC Create Date 11/17/2008 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 Date 11/17!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) and to secure any necessary approvals before starting such activity. Signature Date Address 3135 DELHI RD Agent/Owner OMRO Coffee Maker Int Grease Trap Ext Grease Trap RP2 Valve -- Eye Wash Statn Wtr Sewer Mtrs _ _ _ Deduct Meters Wtr Usage Mtrs WI 54963 - 9724 Telephone Number 920-685-2196 ~~~~CUU~G ir~~peciivns pease can ine 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. $900.00 Plan Approval $0.00 Permit Fees $50.00 ^ Permit Voided City of Oshkosh Inspection Services Division POBox1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing Permit Application O.lHKO H ON THE WATER I 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 $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds check here i~you want this Drocessed through your account n ** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be retarned for completion. Job Address_,~ ~ ~~'~j~/~ Value (Including labor and materials) ~ /~ ~ ~ Date ~ - 0,3 OwnerQs/y/~O$/y -S'Cf~DD~- ~/~, Contractor ~/~,~%~~ ~~'C'~!//~r'I~I'`c~- ~Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial Number of Fixtures: Bathtub Disposal Drink Fm Catch Basin Whirlpool Dishwasher Wail. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink Water Softner Sculry Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker ^ Gas ~ Elect :_ PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work /I/,~~ ~~'®/QjJ~ S~l~j~~ ~'„~~~~L Size Material Type # Conn. Type Sanitary Sewer ~ ~~ /°V C ~/7i,~/Q~L f ~i~ G~ Storm Sewer Water Service o~/o~