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Home My WebLink About0147126-Plumbing (repair water service) l'a CITY OF OSHKOSH No 147126 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1001 BAY SHORE DR Owner TRIDENT PROPERTIES LLP Create Date 08/08/2011 Contractor KOCH PLUMBING 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 Repair water service leak. ***Debit Account ** of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 1 -1/2" Copper Lateral 1 Repair Parcel Id # 0805910000 Valuation $900.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided I Issued By Date 08/08/2011 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 2005 DOTY ST OSHKOSH WI 54902 - 7040 Telephone Number 920 -231 -6661 or 235 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. 1g 05 11 09:33a Clarence Koch 9202350282 p.1 ---------- _ _-______ • r u tsar iou Oshkosh, WI 54903-1130 Phone: (920)236-5050 BLIC (920) 236-5084 WiralTill . . •., _.,..„ R Plumbing Permit Application I hereby apply for a permit to do and install the &Bombs plumbing onthe preens' es hereinafter descolsed„the work to crefonoto the Wisconsin Sete Plumbing Code, in the performance of Which all parties hereto agree to and are brumd by said statutes. • Application(s) and fee(s) can be brought to City Hall, Room 205 or menedto Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing WO* without permit(s) will resat in fees being doubled or S100.00 phis the normal permit hos which ever is greater_ OR tf vote are a contractor particfpatinir in the Permit Fee Account $yeten2 and have adeqqate hauls. check here O V 011 want this processed through_your account 17 * lb Advisory - For applicable projects, an Electrical Installation 'Parr:twin' n CM) form, signdbyr the Electdcal Contractor or Homeowner (lbr histallations allowed to be performed *Os homeowner) mustbe submitted with the penult application. Applications subsatted without anICIV when such is -required, will notbe processed for Permit Issuance and will be reamed for completion. Job Address /a2 / ./g/1%%-.S./-'Value o Le an d mo d a l s ) "7 Lie..." D g - S / / Owner //0/2-4-: ,, Contractor ./L 0 6/- / 4 2 , z: OSinglo Fanniy ODupiex raMultirFannly 12jizentai Elconunereild OIndostrial Number of Fixtures: Elathtub . Sump ?map _ Piaster Mc _ Mot Shower Sim Swipe:rep _ Scullery Sisk - Soda DIV - t Whirlpool Wetzt Softener - . Strike Sin - CafXbe Mr - Lavatory _ Standpipe Res _ Stamp Sink - Site Dada Tenet GarageFD Surgeons Mak Waits Ms _ _ - - Sit Sink Local Waite Steal= lee Chest _ - _ Dispose! BerStk - RPZ Volvo --. Comm Tee Maker Dishwasher Breda= Sink Bidet Int Green Trap - - _ , Flora Drain Assam Sink - aka 1 - Ext °masa Trap Hose B M Exam Wok Beer Tap Eye Wash.Sin - - Water Rearm F Pap Sink - Dkuper Weil - . Dedualleser - CI Gas 0 131ectDPwrVat Boor Fmk _ DrinkFam - wt SawcrIvitr Clothes Walu• Rawl Sink Wash Flan Iiitrthageldir _ _ LndrY TlaY Lab Sink - Catch Basin - Mee Fir:toms :the Contractor (for projects not requiring an XIV Form) . „ / Nature of Work /ZA z.::. :.:, = ''' -.: '4 ;;.:.r- - Size Material Type # Conn. Type Sanitary Sewer - , -- St= Sams Water Service j; ;;_ -- - ':: •-•: ,, ,,, ."' c • „ . • • Ek Th is i nstallation is complete and may be inspected at any time. . Received Time Aug. 5. 2011 9:29AM No. 6588 ,