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Home My WebLink About2012-Plumbing (storm lateral) CITY OF OSHKOSH No 152218 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 300 302 WESTBROOK DR Owner DONALD R BRUEX Create Date 09/10/2012 Contractor KURT ZENTNER&SONS INC 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 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 SFR/storm sewer lateral to condo of Work II Size Material Type # Conn.Type Sanitary Sewer Storm Sewer 4" Plastic Lateral 1 New Water Service Parcel Id# 1616510000 Valuation $1,500.00 Plan Approval __ _____$0.00 Permit Fees $50.00 ❑ Permit Voided] Issued By p Date 09/10/2012 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 2860 OREGON ST OSHKOSH WI 54902 -7136 Telephone Number 235-1340 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 PO Box 1130 Oshkosh,WI 549034130 Phone:(920)236-5050 � -K01H Fax:(920)236-5084 C,., -1,4F•VAtFr. 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 izv nte funds, check here, .0 are • c.ntract• .artici•a in- in the .'ermit Fe- account , yttem and have ade_ if you want this processed through your account 1_'1 **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. it Ds;tIL /AGO 60 _ mate -/0'/� Job Address .5t O—30 a We5tb e value(Including labor and materials) / Owner / 't I 1 ' D ( Contractor _�u r f 2 e4/,7e/ 7— 6'on S Single Family uplex ❑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 Standpipe)lee Sbamp Sink Site Drain Lavatory �� Waltrs Stn Toilet Garage FA surgeons Sink Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Breakrm Sink Bidet tnt Grease Trap Dishwasher Urinal Ext Grease Trap Floor Drain Classtrn Sink Exam Sink Beer Tap Eye Wash Stn H Bibb Deduct Meter F Prep Sink Dipper Well water Heater Wtr Sewer Mir i Gas 0 Elect CI PwrVnt Floor Sink Drink Fntn Clothes Wshr Hand Sink Wash Fntn Wu-Usage Mir Lndry Tray _ Lab Sink Catch Basin Mise Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work _4).544- 11ty, S-/6 rol `S.e Lae r Size Material Type # Conn-Type Sanitary Sewer , / l/ 3C`'! `Q pa`••v Stone Sewer `�` Water Service 06/09 Received Time Sep, 10. 2012 10: 06AM No. 0763