HomeMy WebLinkAbout0151684-Plumbing (new sanitary lateral) (a CITY OF OSHKOSH No 151684
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 939 MERRITTAVE Owner SUSAN A HIBBEN Create Date 08/14/2012
Contractor MR ROOTER OF THE FOX VALLEY Category 401 -Residential-Exterior(laterals) Plan
Inspector Jerry Fabisch
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 DUPLEX/pipe bursting new sanitary sewer lateral from house to right of way connecting to refined sewer pipe
of Work
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 Relay
Storm Sewer
Water Service
Parcel Id#
1101270000
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided
Issued By �J iF Date 08/14/2012
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 1141 APPLETON WI 54912 - 1141 Telephone Number 920-687-9178
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.
Wentz, Sandra
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing @ci.oshkosh.wi.us]
Sent: Monday, August 13, 2012 9:48 AM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:8/13/2012 9:47:43 AM
Permit Fee Account System: YES
Job Address: 939 Merritt Ave
Owner: Susan Hibben
Contractor: Mr Rooter Plumbing
Use Category: Duplex
FIXTURES
Plaster Roof
Bathtub: Sump Pump: Sink: Drain:
San. Scullery Soda
Shower: Sump/Pump: Sink: Disp:
Water Service Coffee
Whirlpool: Softener: Sink: Mkr:
Standpipe Shamp Site
Lavatory: Rec: Sink: Drain:
Surgeons Waitrs
Toilet: Garage FD: Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice Chest:
Comm
RPZ Ice
Disposal: Bar Sink: Valve:
Int
Breakrm Bidet: Grease
Dishwasher: Sink:
Trap:
Ext
Floor Classrm Urinal: Grease
Drain: Sink: Trap:
Beer Eye Wash
Hose Bibb: Exam Sink: Stn:
Tap:
Water Dipper Deduct
F Prep Sink:
Heater: Well: Meter:
1
Drink Wtr
Floor Sink: Sewer
Fntn: Mtr:
Wtr
Clothes Wash e
Usa
Hand Sink: Fntn: Usage
Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fixtures:
*USE/NATURE OF WORK pipe burst new sanitary sewer
*VALUE 2000.00
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
2