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Home My WebLink About0154945-Plumbing (laterals) � CITY OF OSHKOSH No 154945 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 972 E SUNNYVIEW RD#42 Owner WISCONSIN MHP 6, LLC Create Date 04/04/2013 Contractor ABSOLUTE PLUMBING OF WISCONSIN Category 401 -Residential-Exterior(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 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0 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 I I 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 Plan 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, 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 � POBox1130 APR 042013 � Oshkosh,WI54903-1130 Phone:(920)236-5050 Falc:(920)236-5084 IDEPARThtE1T OF I�� HKC� H C0�I�1lJ'�4'LY nEVE�.OPIIEVT : F�:T�(l'd�ERS'6C£S GR'iSiOV ON'fHF�.�/ITrR ��umbing Permit Application I hereby apply for a pernut to do and instatl the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which atl 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)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR If vou are a contractor narticinating in the Permit Fee Account Svstem and have adeguate funds check here if vou want this processed through vour account (� **Advisory-For applicable projects,an Electrical Installation Verification(EI�form,signed by the Electrical Contractor or Homeowner(for installations allowed to 1�performed by the homeowner)mnst be snbmitted with the permit application. Applications sabmitted withont an EIV when snch is reqnired,w�71 not be processed for�ermit Issnance�nd w e tarned for completion. �7�. � 5... r. v��vJ � Job Address Valne(��a;��i�� Date —a7—� 3 � �ner LV i SLV�S i r1 m H � 6► �-�ontractor O�w�C �.t i.'v��i 19l Single Family ❑Duplex OMulti-Family []Rental �]Commercial QIn strial �}-tzci ��e r �04�� .c.w.�r a v� �a.�-�� c-��c-7�-- Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Watcr Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Sitc Ihain Toilet Cruage FD Surgeons Sink Waitrs Sm Kit Sink I.ocal Waste Stetilizer Ice Chest DisQosal Bar Sink RPZ Valve ' Comm Ice Maker �� Breaktm Sink Bidet Int Gtease Trap Floor Drain Classrm Sink Urinal ��T� Hose Bibb Exam Sink Beer Tap Eye Wash Sm Water Heater F Prep Sink Dipper WeII Deduct Meter ❑Gas 0 Elax�PwrVnt Floor Sink Drink FnUi Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr Lndry Tray �g� Catch Basin Misc Focdues Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work G-D N V1�PG� S '7� (� � �.,/1,1p ��j�`Q �p �,�` Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09