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HomeMy WebLinkAbout0144072-Plumibng (lift station) CITY OF OSHKOSH No 144072 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1670 S MAIN ST Owner CITY OF OSHKOSH Create Date 11/15/2010 Contractor J.F. AHERN CO Category 430 - Industrial - 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 0 Whirlpool Sump Pump F Prep Sink RPZ Valve 1 Coffee Maker Wtr Usage Mtrs 1 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 1 Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use /Nature South Main Street Lift Station / Install new water service for wash press, new meter and RPZ valve. of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 2" Copper Lateral 1 New Parcel Id # 0306050000 Valuation 4,000.00 Plan Approval $0.00 Permit Fees $0.00 ❑ Permit Voided Issued By Date 11/15/2010 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 PO BOX 1316 FOND DU LAC WI 54936 - 1316 Telephone Number 920 - 921 -9020 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 REc. EI E D Inspection Services Division POBox 1130 NOV 12 2010 Oshkosh, WI 54903 -1130 DEPARTMENT OF Phone: (920) 236 -5050 COMMUNITY DEVELOPMENT Fax: (920) 236 -5084 ■ l TT ■ INSPECTION SERVICES DIVISION �it�1�1 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 parties hereto agree to and are bound by said statutes. • Applieation(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 8100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor parti_cipving in jhgPermi a Account System and have adeauate funds. check here If you want this processed through your account E ** Advisory - For applicable projects, an Electrical Installation Verification (Ella) 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 1670 S. Main St., OshkoshVaiue (Incloding labor and materials) $4,000 Date 11/10/10 Owner - City of Oshkosh Contractor J. F. Ahern Co. . ❑Single Family ['Duplex [Wald-Family ❑Rectal ['Commercial . ®Industrial . Number of Fixtures: Bathtub ' Sump Pump Plaster Sink Roof Drain Shower San. 3mnp/Pump Soupy Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waits Stn Kit Sink Loeal Waste Sterilizer Ice Chen . Disposal Bar Sink RPZ Valve X Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap • Floor Drain X Clasum Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Sin Water Heater F Prep Sink Dipper Well Deduct Meter 0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Warr Fntn Wtr Usage Mir X Lndry Tray Lab Sink Catch Basin Misc Fixtures ' Electric Contractor (for projects not requiring an.EIV Form) consolidated treatment plant & pumping station improvement projects, contract 10 -15 with Use /Nature of Work • - . - e - ' - _ - _ " • _ _ , • - e - - - . - . - ■ backflovV Size Material Type # Conn. Type preventer. Sanitary Sewer Storm Sewer Water Service 2" Copper Type K 1 compression 06/09