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Home My WebLink About0145397-Plumbing (roof drain) (...D CITY OF OSHKOSH No 145397 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 719 DOCTORS CT Owner VALLEY PROVISION OSH LLC Create Date 04/08/2011 Contractor VALENTINE READER PLUMBING INC Category 442 - Commercial- Interior (New /Relocated Fixti Plan Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain 1 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 / INSTALL NEW ROOF DRAIN **check #10073 of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1519110502 Valuation $1,200.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By -1> Date 04/08/2011 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 W 2015 INDUSTRIAL DRIVE KAUKANA WI 54130 - 7517 Telephone Number 920 - 788 -2494 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. R City of Oshkosh a C � Inspection Services Division P o Box 1130. APR 0 7 2011 °I1 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 DEPARTMENT OF Fax: (920) 236 -5084 COMMUNITY DEVELOPMENT O.lHKO.IH INSPECTION SERVICES DIVISION ON THE WATER 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. • 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 $100.00 plus the normal permit fee, which ever is greater. OR If vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here if vou want this processed through your account fl ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address 7/ 4 0'C+O($ dou -f Value (Including labor and materials) ? � . a) Date .9-3/ - // Owner ✓itll e y c. Gil,j, L Reek I41 P G `1 Contractor ��,it�. t9, Tnc. ['Single Family ❑Duplex - ❑Multi - Family ❑Rental Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump • Plaster Sink Roof Drain Shower San. Sump/Pump Scullery Sink ool Soda Disp Whirlpool Water Softener Service Sink Lavatory Coffee Mkr i 7' Standpipe Rec Shamp Sink Toilet Site Drain Garage FD Surgeons Sink Kit Sink Local Waste Waitrs Stn Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm 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 0 Gas 0 Elect 0 PwrVnt Floor Deduct Meter oor Sink Drink Fntn Clothes Wshr Wtr Sewer Mtr Hand Sink Wash Fntn Lndry Tray Lab Sink Wtr Usage Mtr Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) .le?,f - efo Use / Nature of Work R-D6 P .Q(ici{ -' Size Material T # Conn. Type _ Sanitary Sewer Storm Sewer Water Service 06/09