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Home My WebLink About0152786 - Plumbing (install hose bibs) CITY OF OSHKOSH No 152785 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 725 BUTLER AVE Owner WINNEBAGO COUNTY Create Date 10/05/2012 Contractor WINNEBAGO COUNTY – -- -- - Category 444-Commercial-Exterior Laterals Plan Inspector Jerry Fabisch Bathtub Clothes Wshr _ Classrm Sink Surgeons Sink Roof Drain Sterilizer Der Set Meters Shower Lndry Tray Exam Sink St Whirlpool --- ---Soda Disp Wtr Sewer Mtrs Sum P p 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 P Comm Ice Maker Dishwasher Local Waste Sculry Sink Drink Ftn Floor Drain _ Bar Sink --- _-- Int Grease Trap Sery Sink Wash Ftn Ext Grease Trap Hose Bibb 7 Breakrm Sink Shamp Sink Catch Basin Water Heater --_Eye Wash Statn Use/Nature Comm/installing hose bibbs for watering landscaping and gardens/cross connection will be installed at all end point of Work uses Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 1 1/2" Plastic Lateral 1 New Parcel Id# 1529500000 Valuation $5,000.00 Plan Approval $0_00 Permit Fees $99.00 ❑ Permit Voided Issued By .' — Date 10/05/2012 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 ho sec 1e any necessary approvals before starting such activity. Signature Date ir(laof� Agent/Owner Address 5 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 ,erg`53%;: POBox 1130lr� Oshkosh,WI54903-1130c cfJ Phone:(920)236-5050 RV Fax:(920)236-5084 i0 '� �---0�-- f 01HKOJH Plumbing Permit Application ON THE WgTFR 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 fl **Advisory-For applicable projects, an Electrical Installation Verification Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be by the s bmitteetncal d 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 ' 72.5-&7-X. Value(Including labor and materials) p4.�Qt'fl') Date j t` 1) Owner 1-6&r..400 C aa.rf Contractor ❑Single Family ODuplex ❑;Multi-Family ORental ❑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 Lavatory Coffee Mkr Standpipe Rec Shamp Sink Toilet Garage FD Site Drain Surgeons Sink Kit Sink Local Waste Waitrs Stn Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Water Heater F Prep Sink Eye Wash Stn Dipper Well Deduct Meter Gas Elect PwrVnt Floor Sink Clothes Wshr Drink Fntn Wtr Sewer Mtr Hand Sink Wash Fntn Lndry Tray Lab Sink Wtr Usage Mtr Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work y7 4 S 4 � L � A e v(cr t Gz 2 r Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09