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HomeMy WebLinkAbout0146118-Plumbing (laterals) (g) CITY OF OSHKOSH No 146118 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 811 DOVE ST Owner CHADD HUISMAN Create Date 05/31/2011 Contractor ZILLGES EXCAVATING Category 401 - Residential - Exterior (laterals) Plan Inspector Rich Wood 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 Install sewer and water laterals for new single family. ***Debit Account ** of Work Size Material Type # Conn. Type Sanitary Sewer 4" Plastic Lateral 1 New Storm Sewer 4" Plastic Lateral 1 New Water Service 1.25" Plastic Lateral 1 New Parcel Id # Valuation $1,750.00 Plan Approval $0.00 Permit Fees $150.00 ❑ Permit Voided Issued By Date 05/31/2011 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 1800 FOUNTAIN AVE OSHKOSH WI 54904 - 1045 Telephone Number 231 -1994 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. PLUMBING PERMIT APPLICATION Page 1 of 2 Stephenson, Ann M. From: PLUMBING PERMIT APPLICATION [ Permit _App_Plumbing @ci.oshkosh.wi.us] Sent: Friday, May 27, 2011 10:55 AM To: Inspections, Inspections Subject: PLUMBING Permit Application PLUMBING PERMIT APPLICATION Date:5 /27/2011 10:55:08 AM Permit Fee Account System: Dot Job Address: 811 GROVE STREET Owner: HUISMAN HOMES Contractor: ZILLGES MATERIALS INC Use Category: Single Family FIXTURES Bathtub: Sump Pump: Plaster Roof Sink: Drain: Shower: San. Scullery Soda Sump/Pump: Sink: Disp: Whirlpool: Water Service Coffee Softener: Sink: Mkr: Lavatory: Standpipe Shamp Site Rec: Sink: Drain: Toilet: Garage FD: Surgeons Waitrs Sink: Stn: Kit Sink: Local Waste: Sterilizer: Ice Chest: Comm Disposal: Bar Sink: Valve• Ice Maker: Breakrm Int Dishwasher: Sink• Bidet: Grease • Trap: Floor Classrm Ext Drain: Sink: Urinal: Grease Trap: Beer Eye Hose Bibb: Exam Sink: Wash Tap: Stn: 5/27/2011 PLUMBING PERMIT APPLICATION Page 2 of 2 Water F Prep Sink• Dipper Deduct Heater: Well: Meter: Drink Wtr Floor Sink: Fntn• Sewer Mtr: Clothes Wash Wtr Wshr: Hand Sink: Fntn: Usage Mtr: Lndry Lab Sink: Catch Misc Tray: Basin: Fixtures: *USE / NATURE OF WORK NEW SINGLE FAMILY RESIDENCE *VALUE 1750.00 ELECTRIC CONTRACTOR Size Material Type # Conn. Type Sanitary Sewer cie Storm Sewer i( PV 0-" 17(0 g .r D R ' s 1 ' P v c s Water Service / a ��� Pr► ,976.0 P51 /( 5/27/2011