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0141017-Plumbing VOID
l CITY OF OSHKOSH No 141017 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD V 0 1 D ON THE WATER Job Address 1816 WILSON AVE Owner BUDVAN PROPERTIES LLC Create Date 05/17/2010 Contractor C SWEETING 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 SFR/ Abandon laterals for home to be razed and rebuilt at a later date. of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1211920000 Valuation $300.00 Plan Approval $0.00 Permit Fees $25.00 0 Permit Voided Issued By a ",�' ,, Date 05/17/2010 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 Agent/Owner Address 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 - 9316 Telephone Number 920 - 410 -4017 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. CITY OF OSHKOSH No 141017 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1816 WILSON AVE Owner BUDVAN PROPERTIES LLC Create Date 05/17/2010 Contractor C SWEETING 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 FIr/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 SFR/ Abandon laterals for home to be razed and rebuilt at a later date. of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1211920000 Valuation $30 0, Plan Approval $0.00 Permit Fees $25.00 ❑ P ermit Voided Issued By J Date 05/17/2010 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 V y/C' Agent/Owner Address 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 - 9316 Telephone Number 920 - 410 -4017 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. REQUEST FOR EXCEPTION TO REQUIRED SEWER AND WATER ABANDONMENT REGULATIONS Date . 5- -/--) y O Address of building /rig LJ; /SG, /1 Name of Owner ga elt/Ltn J ,o e,- /ic1 LG< • Address of owner 3 ctehie A,c, / OM'Os 1i1 Sy ?01'. 979 The undersigned Master Plumber requests that the requirement for abandonment of the sewer and water laterals for this address not be required to meet the ordinance for abandonment at the property line before raze or removal of the served structure. (Check one or provide Information) • The utilities will be reused for new construction at this site within twelve months of the date of request for exception. If the utilities will not be reused within this time frame they will be properly abandoned at the property line per ordinance requirements no later than twelve months from date of this request. • 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 ordinance. (Not to exceed 60 days) 4 x . • Other reasons f o r the requested exception: 64* • j j ' vu- 1 4 i L A I 4 4 d JJ•/l LOAD 1 # € /W'. P. '" • .f�,'fat 1/ z rtrerti `o 4, / it/ tNk•/ /, cgMv`5 lo ,A *1--- ,-,1;i et cil GOna/,',4 , 64....i 7 •'/ 7 t- /a' u' rc JJ'' (Continue on the reverse de of form if necessary) CI Master Plumber� Date 1/10 Master Certificate Number 6 7 3 2_ 57 Mailing address 15-y 'J Co, n. A1�4g. „ jo „., r ©54/ ' ( 4L Se1id Approved: , Date S ' J7' /6 (P mbmg Inspector)