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Home My WebLink About0145967-Plumbing (backwater valve) -44. CITY OF OSHKOSH No 145967 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 931 MONROE ST Owner JAMES /JANICE SCHWERTFEGER Create Date 05/19/2011 Contractor WATTERS PLUMBING Category 412 - Res - Interior (New /Relocated Fixtures) Plan Inspector Paul Wolf 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 / Install backwater valve. Call for inspection day of installation. "debit acct of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1107880000 Valuation $450.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By 0/11L Date 05/19/2011 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 PO BOX 118 MENASHA WI 54952 - 0118 Telephone Number 920 - 733 -8125 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. 5/19/2011 THU 8:48 FAX 920 733 2713 Watters Plumbing -.-.-. OSHKOSH PLB INSPECTION tI001 /001 City of Oshkosh 0 Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 OJ —KOJH 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 you are a contractor participatinu in the Perm(t Fee Account System and have adequate funds. check here if vou 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 9 / ? /UW `- / • Value (Including labor and materials) 1U., Date / t Da /c (1/ Ow er �'� I(; CS C �4v1{r��Q{-�'e� Contractor 'plum P» r) � � S ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial 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 Reo Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Sin Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classmt Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Welt Deduct Meter U Gas U Elect U PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wahr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work 1 U k .G t A-Qe Ua t kk'_ . Size Material Type 1/ Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09 Received Time May. 19. 2011 8:40AM No.5716