HomeMy WebLinkAbout0143250-Plumbing (connect to city) CITY OF OSHKOSH No 143250
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 953 955 LINDEN OAKS DR Owner DAVID W / BEVERLY J ZINK Create Date 09/22/2010
Contractor KOCH PLUMBING Category 410 - Residential- Interior 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 FIrNVst 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 CONNECT TO CITY SANITARY SEWER AND WATER. PROPER WELL SEPARATION AND ABANDONMENT IS
of Work REQUIRED FOR COMPLIANCE IN ORDER TO PROTECT THE MUNICIPAL WATER SUPPLY.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 09/22/2010
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 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920 - 231 -6661 or 235
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.
.p 21 10 07:59a Clarence Koch (920) 235 -0282 p.l
J V1 VO1{►{�Dlj -_ ,
Inspection Services DIVISi011
O P o
Oshkosh, W1
Oshkosh, WI54903 -1130
Phone: (920) 236 -5050
Fax (920) 236-5084 TT :Kt Or
•
Plumbing Permit Application ON w
I hereby apply for a permit to do and install the following plumbing on. the prensktes Wisconsin State Plumbing Code, in the performance of which all b mach work to conform to the
agree to and are bound by said statutes.
• Application(s) and fee(s) can be brought to City Fall, Room 205 or mailed to Inspection
54903 -1128. Commencing work w � Wilt remit in Po I
12s, Oshkosh WI
e�;s � doubled or 8I00.00 plus the normal permit fee, w ed,
OR
" Advisory - For applicable projects, as Electrical Installation Veda'
with the permit om Heowner (far allowed t+ p � h form, by the Electrical
App ons d an HIV when such ) moat be aabmitbed
p far Permit a and wig be fbr required, will not be
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Job Address '
(Ineituring labor and matedds 11 °a:3 —= 9- °1-1
Owner O /JA�/r, � 12r Z"//f/X' �L Date
O Single F Contractor 1 CV G �1 p l. U% ie 1 ,'
Di/Duplex DMulti -Fad . Elltental OConunercial
Oladnstrlal ,
Number of 1 tures:
smmb Sump Pump Battu su -- Piaster Sint Roof Drain
whiapoca Water Soft r Service Sint SodaDlap
Lavatory _ cos nnr
Toilet �R°° Shams Sink
Site Dram
To
Kit Sink Local We Sink Waite sin
Disposal Sterilizer
Ice c t
Bar Sink RPZ Valve
Dishwasher Breatan 3tst eider
Corm fee Maker
Floor Dnria Sow Uraoei Iat Grease
Sown
Been Ed Trap Hese Bibb r a
wtev i w P� Wash Sur
Water
c ea ` P FPrep sit Dipper Well
Floor Drink FM DedSewerh
Clothes wabr - Sink wash Fader w� Sewer her
Lathy Tray Lab Sint Catch Basin Usa
rone
'-- Mdse Throne
ric Contractor (for projects not requiring an KW Form)
Nature of Work 4'a /v4�� :;�1-- 4 ( 77// r -/ ,' ,{/ R .;„:::,..",e,77
Size Material TyPe ` "' -
# Conn. Type •
Sanitary Sewer
Storm Sewer
Water Service
0 This installation is complete and may be inspected at any time.
Received Time Sep. 21. 2010 8:05AM N 2896 ,3 -/J