HomeMy WebLinkAbout0153001 - Plumbing (sewer and water laterals) No 153001
CITY OF OSHKOSH
1110411114
PLUMBING PERMIT - APPLICATION AND RECORD
OSHKOSH Create Date ion7_
ON THE WATER Owner RICHARD_AILAURIE N�WEBER Plan -____
Job Address 1602 BOWEN S_T— Category 401 -Residential-Exterior(laterals)
Contractor WALTER RSCHMID JR - --- Deduct Meters
Roof Drain
Inspector __- - Classrm Sink Surgeons Sink _ _Wtr Sewer Mtrs _
Clothes Wshr Sterilizer __Soda Disp
Bathtub — Exam Sink -- Coffee Maker Wtr Usage Mtrs
Shower —Lndry Tray pink RPZ Valve _— _ Misc.
Pump F Prep Site Drain -- Fixtures
Whirlpool Sump Bidet _—--
San SumplPump _ Flr►Wst Sink _Wait.St. ---
Lavatory Hand Sink ___ Urinal
Toilet _Water Softner _— Beer Tap —Ice Chest
Standp Rec __ Lab Sink _—_ Comm Ice Maker —_
Kit Sink Plaster Sink Dip Well
Disposal Gar Drain Drink Ftn —Int Grease Trap
Sculry Sink Ext Grease Trap
Dishwasher Local Waste Wash Ftn
Bar Sink - Sery Sink Eye Wash Statn
Floor Drain Catch Basin _ y
Breakrm Sink - Shamp Sink __
Hose Bibb
Water Heater ---
Use/Nature ORES/Disconnect sewer and water laterals to prep for house and garage to be razed.
of Work
L- yP
Size Material Type # Conn.Type
Sanitary Sewer 4 Iron Lateral 1 Aband
Storm Sewer
Water Service 3/4 Iron Lateral 1 Aband
Parcel Id#
1510960000
Valuation $100.00 Plan Approval _ $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 10/17/2012
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( and to ecure any nec sary pprovals before starting such activity.
Signature CC/ R,
Date 10 -1 -12
Agent/Own r
Address 7821 SWISS RD Oshkosh WI 54902 -0000 Telephone Number 688-2496
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 O Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050 O�I I�O��l
Fax: (920)236-5084
ON THE WATER
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
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 n
**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.
r u
Job Address G l 10 0 /7Ot,(,r") Value (Including labor and materials) /t Date
Owner cl'ty Cl F V CH/05W Contractor (,(14 ay. SC HI rri r % C C/ _I it/G,
❑Single Family ❑Duplex ['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
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stn
Kit Sink Local Waste 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 Eye Wash Stn
Water Heater F Prep Sink Dipper Well Deduct Meter
0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor (for projects not requiring an EIV Form)
Use/Nature of Work f D (5 ( 47 VV C 7 5-6-----61/2,..-7--/e GL�i4-7 Z
Size l Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
V 41 1250Z. 06/09