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Home My WebLink About0155921-Plumbing (laterals) � � CITY OF OSHKOSH ` � No 155921 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD � ON THE WATER � i Job Address 3450 N MAIN ST Owner CURWOOD INC Create Date 05/28/2013 Contractor AUGUST WINTERS CO Category 444-Commercial-Exterior Laterals Plan Inspector Jerry Fabisch Bathtub 0 Clothes Wshr 0 Ctassrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 0 Lndry Tray 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 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 OMM/exterior water lateral for fire protection for future building expansion•"'late fee added for work done and of Work I ompleted before permit was issued*" Size Material Type # Conn.Type F Sanitary Sewer Storm Sewer Water Service 12" Iron Lateral 1 New Parcel Id# 1519603300 Valuation $5,000.00 Plan Approval $0.00 Permit Fees $150.00 ❑ Permit Voided; Issued By �-�'�� Date 05/31/2013 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 PO BOX 1896 APPLETON WI 54912 -0000 Telephone Number 739-8881 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 �E�� Inspection Services Division j P O Box 1130 ' Oshkosh,WI54903-1 1 30 MAY 31 � Phone:(920)236-5050 _ � � Fax:(920)236-5084 UEP.a. . E wHTER O�I�IU�TTY�E�'E..�,A�1EVT Plumbing Permit Applicatiot�pECTIO�SER�'ICESUi�'ISIOV 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. € � • A lication s and fee s can be brou ht to Ci Hall Room 205 or mailed to Ins ection Services PO Box 1128,Oshkosh WI � pP � ) � ) g tY , P , � 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 � I�vou are a contractor partic patinQ in the Permit Fee Account Svstem and have adequate funds, check here � i�vou want this nrocessed throuQh vour account n � � � F **Advisory-For applicable projects, an Electrical Installadon Verification(EIV)form, signed by the Electrical � Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted � with the permit application. Applications submitted without an EIV when such is reqnired, will not be � processed for Permit Issuance and will be returned for completion. � .� ` Job Address a`'�S�� N /�4�� S� G�iwsti 4�Va�UC(Including labor and materials) �� Date 29 /,3 � Owner Bc�•.+s Contractor � �s� .:�-rcr- Q�� So,�s ❑Single Family ❑Duplex ❑Multi-Family ❑Ren 1 � ❑Commercial �Industrial , � � >, Number of Fixtures: � � Bathtub Sump Pump Plaster Sink Roof Drain �. Shower San.Sump/Pump Scullery Sink Soda Disp � Whidpool 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 � F Disposal Bar Sink RPZ Valve Comm Ice Maker � Breakrm Sink Bidet Int Grease Tra � Dishwasher P 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 � ❑Gas 0 Elect�PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr � Lnd Tra � �Y Y Lab Sink Catch Basin Misc Fixtures # e i Electric Contractor(for projects not requiring an EIV Form) � Use/Nature of Work_ _�/orltr 5trv��-�-� � � Size Material Type # Conn.Type ` Sanitary Sewer � i Storm Sewer ?' ;: Water Service �+� 1 G�'�`' L,�vc -1u o�c�„ rn�un 06/09