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Home My WebLink About0143731-Plumbing (laterals) 01/14 CITY OF OSHKOSH No 143731 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3225 WHITE TAIL LN Owner MIDWEST GENERAL CONTRACTORS Create Date 10/13/2010 Contractor RADTKE CONTRACTORS INC Category 444 - Commercial - Exterior Laterals Plan P8 -409- 1010 -P 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 COMM/ 6 Unit* Exterior laterals with tracer wire for constructing a new 6 unit multifamily building with 2 car attached of Work garages. Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 New Storm Sewer Water Service 2" Plastic Lateral 1 New Parcel d # Valuation $2,000.00 Plan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided Issued By Date 11/20/2010 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh ` as no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit , .),I p ion within an easement, the City strongly urges the permit ap •licant to contact the VI easement • • - an. ` any necessary approvals before starting such activity. Signature ` \ ., Date \ 0 Agent/Owner Address 6408 CROSS RD WINNECONNE WI 54986 - 9 31 Telephone Number (920) 582 -4114 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 ( ow do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at he time the request is received. Work may continue if the inspection is not performed within two business days from t e time the project is ready. City of Oshkosh Inspection Services Division PO Box 1130 f , Oshkosh, WI 54903 -1130 ti Phone: (920) 236 -5050 Fax: (920) 236 -5084 CIJHKOJH • Plumbing Permit Application 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 if you want this processed through your account ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) 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 returned for completion. Job Address 3,35.-- II \ OM ; ` �Av� Value (Including labor and materials) ,QOOd Date `O'\1- 10 Owner M , . , . l i t , A - k G 1 \ L L retractor R.() 1 c.„L;tis ❑Sin Family ODuplex [Multi -Fami ly ORental ❑Commercial DIndustrial • Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San. Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Sham Sink P Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Disposal Bar Sink Ice Chest RPZ Valve Comm Ice Maker Dishwasher Breaknn Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter ❑ Gas ❑ Elect ❑ PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Lndry Tray Wtr Usage Mtr D Y Lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work,, b 4�o-lS Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09