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Home My WebLink About2012 - Plumbing (replace/repair water lateral) @, CITY OF OSHKOSH No 152970 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Owner DISCOVERY PROPERTIES II LLC Create Date 10/16/2012 Job Address 813 PROSPECT AVE — -- — — ------ Plan Category 401 Residential-Exterior(laterals) Contractor C SWEETING PLUMBING LLC _—_ g ry - - --- 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 Prep F Pre Sink RPZ Valve Coffee Maker — Wtr Usage Mtrs _ Misc. Lavatory San Sump/Pump FIr1Wst Sink Bidet Site Drain ry Fixtures Toilet Water Softner Hand Sink _— Urinal --_Wait.St. _____ 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 ll Use/Nature (RENTAL/Replace and/or repair water lateral from the curb stop to the water meter. of Work 1 I Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 1 1/4 Plastic Lateral 1 New Parcel Id# 0503920000 Valuation _ $1,800.00 Plan Approval $0.00 Permit Fees $50.00 Permit Voided p l_ Date 10/16/2012 Issued By +�'" 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. D/ �/ = - Date ! l6 Z Signature ___ ,- —�" �— Agent/Owner Address 1583 COUNTRY MEADOW CT OSHKOSH WI 54904 -9316 Telephone Number 920-410-4017 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 0 Inspection Services Division P O Box 1130 Oshkosh,WI 54903-1130 Phone: (920)236-5050 OJ�--IKOJH Fax:(920)236-5084 ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following erforman el of which on all parties hereto agree to o and are bound by said statutes. to the Wisconsin State Plumbing Code,in the p • 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 7 ** Advisory-For applicable projects, an Electrical Installation Verification(EIV)form,homeowner)signed submitted Electrical Contractor or Homeowner(for installations allowed to be performed by the h ) 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 P. o .-. fi Value (Including labor and materials) Owner t`,'Swvc.'v P�co �� _,'f. Contractor cc' -5 i [Single Family ❑Duplex [Multi-Family ❑Rental ❑ Commercial ❑Industrial Number of Fixtures: Roof Drain Sump Pump Plaster Sink Bathtub Soda Disp San.Sump/Pump Scullery Sink Shower Coffee Mkr Water Softener Service Sink Whirlpool Site Drain Standpipe Rec Shamp Sink Lavatory Waitrs Stn Garage FD Surgeons Sink Toilet Ice Chest Local Waste Sterilizer Kit Sink RPZ Valve Comm Ice Maker — Disposal Bar Sink Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn F Prep Sink Dipper Well Deduct Meter Water Heater Drink Fntn Wtr Sewer Mtr ❑Gas❑Elect❑PwrVnt Floor Sink Wtr Usage Mtr Hand Sink Wash Fntn Clothes Wshr Misc Fixtures Lndry Tray _— Lab Sink Catch Basin Electric Contractor (for projects not requiring an EIV Form) ' Use/Nature of Work 4 'z- W c,-/' r`/°G"'-- ty./ Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Size 06/09