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Home My WebLink About0154944-Plumbing (laterals) /�"� CITY OF OSHKOSH No 154944 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ' ON THE WATER Job Address 972 E SUNNYVIEW RD#19 Owner WINNEBAGO DEALER INVENTORY Create Date 04/04/2013 Contractor ABSOLUTE PLUMBING OF WISCONSIN Category 401 -Residential-E�erior(laterals) Plan Inspector Jerry Fabisch Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0 Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 0 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drain 0 Bar Sink _ 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0 ' Hose Bibb _ 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 0 Use/Nature Mobile Home/installing new water and sewer to mobile home of Work Size Material Type # Conn.Type Sanitary Sewer 4" Plastic Lateral 1 Relay Storm Sewer Water Service 3!4" Plastic Lateral 1 Relay Parcel Id# 1560000000 Valuation $400.00 Pian Approval $0.00 Permit Fees $100.00 ❑ Permit Voided I �� Issued By � �• Date 04/04/2013 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. Signature Date AgenUOwner Address N1473 ELLEN LANE GREENVILLE WI 54942 -9602 Telephone Number 920-757-7222 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pertnit 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. �t��IVED city of Oshkosh ,lnspection Services Division APR 0 4 2013 � : P O Box 1130 � Oshkosh,WI 54903-1130 Phone:(920)23Er5050 �EPARTh9Eti'T OF F8X:�920�236-SOg4 C0�71'[UtiTTY DEVELOPME'.VT � �Q p �n �u INSP�?"�I4)?i Sr i2�'iCES Di�'iS10'V (J �..J � � ON 3ti�WHTfR Piumbing Permit Appiication I hereby apply for a permit to do and instait 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 aze bound by said statutes. • Applica6on(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)wil(result in fees being doubled or$100.00 plus the notmal permit fee,which : ever is greater. OR If vou are a contractor participating in the Permit Fee Account ,�vstem and have adeguate funds check here i,�vou want this processed thror�gh vour account n **Advisory-For applicable projects,an Elecbrical Installation Verification(EI�form,signed by the Electrical Contractor or Homeowner(for installations aIlowed to be performed by the homeowner)nmst be snbmitted with the pernrit application. Applications snbmitted withont an EIV when snch is reqnired,w�l not be processed for�Peimit Issnance�nd w ed for completion. q�a. � s��y �,rw '��°`� Job Address_ �q Valne(�,�tua;�g��o�ana�;�ts� �� Date ��—� �Sner INi S�o�tSi 1't mH� 6, �-�ontractor O � '1.�i 'v��7 f V'� ' ingle Family ❑Duplex []Multi-Family �Rental ❑Commercial ❑Indas 1 `�-�1�C'r ��SR_ � L O N�'+-�-G'f� s�i.�-�C' a,v� Ltk,t.�-c l'� Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump 5cullery Sink Soda Disp Whirlpoot Water Softener Service Sink Coft'ee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Sm Kit Sink I.ocal Waste Sterilizer Ice Chest Disposai Bar Sink RPZ Valve � Comm Ice Maker ��i Breakrm Sink Bidet Int Grease Trap Floor Drain Classrtn Sink Urinal Fact G�ease Tcap Hose B�bb Exam 5ink Beer Tap Eye Wash Sm Water Heater F Prep Sink Dipper Well Deduct Meter ❑Gas�Eloct 0 PwrVnt Floor Sink Drink Fnm Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntr� Wtr Usage Mv Lndry Tray �S� Catch Basin Misc F"vcdues Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work CO Y11�u.C-'�' � �' U�.) �O �''I�10�j ��I�Q �Q/ Size Material Type # Conn.Type Sanitary Sewer Storm Sewer , Water Service 06/09