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Home My WebLink About0140804-Plumbing (laterals)OSHKOSH ON THE WATER Job Address 3780 PARKVIEW CT CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Contractor ZILLGES EXCAVATING Plan Bathtub Clothes Wshr Classrm Sink Shower Lndry Tray Exam Sink Whirlpool Sump Pump F Prep Sink Lavatory San Sump /Pump Flr/Wst Sink Toilet Water Softner Hand Sink Kit Sink Standp Rec Lab Sink Disposal Gar Drain Plaster Sink Dishwasher Local Waste Sculry Sink Floor Drain Bar Sink Sery Sink Hose Bibb Breakrm Sink Shamp Sink Water Heater Use /Nature of Work Owner TIM M /CHERYL A MCBRAIR No 140804 Create Date 05/04/2010 Category 401 - Residential - Exterior (laterals) Plan Surgeons Sink Roof Drain Deduct Meters Sterilizer Soda Disp Wtr Sewer Mtrs RPZ Valve Coffee Maker Wtr Usage Mtrs Bidet Site Drain Misc. Urinal Wait. St. Fixtures Beer Tap Ice Chest Dip Well Comm Ice Maker Drink Ftn Int Grease Trap Wash Ftn Ext Grease Trap Catch Basin Eye Wash Statn Valuation $1,5001.00 Plan Approval $0.00 Permit Fees $150.00 ❑ Permit Voided Issued By . �' ) Date 05/0412010 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 Address 1800 FOUNTAIN AVE Agent/Owner OSHKOSH Date WI 54904 -1045 Telephone Number 231 -1994 To schedule inspections please call the Inspection Request line at 236 -51Zts noting the Aaaress, rermn numoer, type vt 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. 0980' °N Wb :L 0[01 'ti 'AEW auiil paniaaa� City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, Wl 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236-5084 ON THE ER Plumbing Permit Application 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 patties hereto agree to and are bound by said statutes. • Application(s) aid fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO aox 1128, Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or S 100.00 plus the normal permit fee, which ever is greater. OR ** Advisory - For applicable projects, an Electrical Installa don Verification (EIV) form, sued 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 E.w when such is required, will not be processed for Permit Issuance and will be returned for completion. 6u /4/ 6111 Job Address 378O &4111e"" C�'f Value (Including labor and materials) ZS � Date Ow r l /m /YIaB.�� Contractor 7_� llc��s /�'1a f��ia �s Single Family ❑Duplex ❑Multi - Family ❑Rental []Commercial ❑ Industrial Number of Fixtures: Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Sump Pump Plaster Sink Roof Drain 13athab Scl cr a Scullery Sink Soda Disp Shower Sari. sump/pump ____ P b L Coffee Mkr W hi[Ipool W ate[ Sotlener Service Sink Standpipe Kam: _ Shamp Sink She Drain l.avato ry Surgeons Sink Waitrs Sul Toilet Garage 17D Ice Chest Kit Sink Lora Waste l W Sterilirrr Colnm {ce Maker Disposal i3a[ Sink RPZ valve lnt Grease Trap arcal= Sink Bidet Dishwasher Urinal Ext Grease "'rap Fluor Drain CSusstitl Sink Eye wush Stn Lixant Sint: Beer Tap Hose Bibb pipper well Deduct Meter F Prep Sink Water lloaler ' Drink l'ntn WV Sewer MIT I'1 Gus 17 EleetlJ pwrVnt Fluor Sink _ Clothes Wshr Hand Sink W ash Fnin Wtr Usage Mtr Lndry Truy lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Size Material Type � � i, c Scl cr a Sanitary Sewer L �' QQ 3 5" Storm Sewer P b L Water Servictt /.,,, 3 6P H Q00 PsL ZILLGES MATERIALS. INC. 1800 FOUNTAIN AVENUE OSHKOSH. WISCONSIN: 54904 (920) 231 -11j.1 TO 39tid 0I S-1VI2:3 -LVW S39-nIZ in. l'ypc % Tu-10 Ta-P 6A /n /e,7— 's tKb 06/09 LT00TCZOZ6 9Z:90 OTOZ /b0/50