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Home My WebLink About0146572-Plumbing (repipe meter station) QD CITY OF OSHKOSH No 146572 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 725 BUTLER AVE Owner WINNEBAGO COUNTY Create Date 06/28/2011 Contractor WINNEBAGO COUNTY Category 442 - Commercial- Interior (New /Relocated Fixti Plan Inspector Todd Muehrer 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 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 Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn _ Water Heater Use /Nature Repipe meter station for downsizing domestic need. ck #395991 of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1529500000 Valuation $370.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 06/28/2011 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 hol s) d to7 any necessary approvals before starting such activity. Signature Date /7Z17. ) Agent/Owner Address X 625 E CTY RD Y OSHKOSH WI 54901 - 9775 Telephone Number 232 -1962 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 Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 II Q A R 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 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 7d u77- e Value (Including labor and materials) � Date 4/241 Owner W 4 CO eaU►'n7Y Contractor co r v 'wry Bx/2 -The / e.00 K ['Single Family ['Duplex ❑Multi - Family ['Rental [commercial nindustrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait. St. Wash Ftn Lavatory Sump Pump Ice Chest Urinal Toilet Ejector /Grind Exam Sink Gar Drain Res. Sink Water Softner Scuhy Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker ❑ Gas ❑Elect ❑ PwrVnt Bidet Sery Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Stn Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs sag Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use / Nature of Work x �'", M-C` 044e Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 07/07