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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