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Home My WebLink About0152331 - Plumbing (Cooper water line) CITY OF OSHKOSH No 152331 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1126 ARTHUR AVE Owner GERALD E/BONNIE L THIEL — - — Create Date 09/13/2012 Contractor DAN KELLY PLUMBING 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---- — p 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 SFR1 New 3/4"Type L copper water line of Work L — Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 3/4" Copper Lateral 1 New Parcel Id# 1604970000 Valuation $3,000.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided) Issued By Date 09/13/2012 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 h r(s)and to secure any ne ssa��yyaapprovals before starting such activity. Signature //0-7 '�� .5 Date Agent/Owner Address 5097 SHERMAN RD OSHKOSH WI 54901 -9755 Telephone Number (920)284-145.8 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 Box WI 54903-1130 I Oshkosh, Phone: (920)236-5050 Fax: (920)236-5084 Permit O1HKOR g mit Application ON THE Plumbing WATER 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 I ou are a contractor •artici•atin. in the Permit Fee Account S stem and have ade•uate unds check here i ou want this processed through your account I� **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signeby the Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted cal 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 26 /L" Value (Including labor and materials) OO < r l Date ` Owner (T-7e/e4b -44 .L Contractor ' (�9ingle Family ❑Du lex Li P [Multi-Family .Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Di Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Disposal Sterilizer Ice Chest Bar Sink RPZ Valve Dishwasher Breakrm Sink Comm Ice Maker Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink ❑ Dipper Well Deduct Meter Gas❑Elect❑PwrVnt Floor Sink Drink Fntn Clothes Wshr Hand Sink Wtr Sewer Mtr Lndry Tray Lab Sink Wash Fntn Wtr Usage Mtr Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 7,,,..--71 C(� G. 06/09