HomeMy WebLinkAbout0156194-Plumbing (laterals) � CITY OF OSHKOSH No 156194
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3775 GLENSHIRE LN Owner WISCONSIN MHP 6 LLC Create Date 06/14/2013
Contractor ABSOLUTE PLUMBING OF WISCONSIN Category 401 -Residential-Exterior(laterals) Plan
Inspector Jon Mueller
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/Run sewer and water laterals to house.
of Work
"'check#2645'***
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service 3!4" Plastic Lateral 1 New
Parcel Id#
1278400000
Valuation $500.00 Plan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided'
Issued By ��iy� Date 06/14/2013
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 EILEN 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.
Ciry of Oshkosh
Inspection Services Division j� REC]EI�ED �
P O Box 1130 �Q�a� ���J�`� /��
Oshkosb,WI 54903-1130 y '�'
Phone:(920)236-5050 J U N 13 Z 013
Fax:(920)236-5084
o+� e wnTea
Plumbing Permit ApR�t+��!��£LOP�fEVT
INSPECTIO��ER�'10ES D3�7SlOV
I heneby appty for a pennit w do and i�tall the following plumbing on the premises hereinafter descn'bod,the work to conform to the
Wisconsin State Plumhing Code,in the pa�nnance of whidi all parties h�eto agr�ee to and are bo�uid by said s�tutes.
• Applicabion(s)and fce(s)can be brought to GSty Ha11,Room 205 a mailed to Inspection Savices,PO Box 1128,Oshkosh WI :
54903-1128. Commencing work without p�mit(s)will resvlt in fees being doubled or$100:00 plus the normai pernait fee,which
ever is greater.
OR
�f vou are a contractor yartictJiati� in the Pernc�t Fee Account System and have ade�rrate frtnds chec�E here
,�f vou want this processed throttQh Your account rl
*"Advisory-For agplicable pmjects,an Elecdrical Installation VtriHcatiton(EI'i�f�nm,si�ed bY du F1ec�oical
Con�xaco4r or Homeowner(frn�stions allowed to be pe�fiomud by tLe homeo�rner)most be sabmi�d
with the pttmit applicatlion. Applications sabmitted'vithoat an EIV�vhea snch is z+e�qnii+ea,vr�l not be
pmassed for Permit�tanoe sad w�l be�fior oomplet�on.
Job Address37 u��/��f1/ G1r� Valne(���ena� �� Date�������
�er j�i�"�61�t�S�',/'/�l�'��'�Ip�GL�- Contractor � /� /�'l�/t.3� �
S'mgle Family QDuplez �1Viniti-Famitq tal �Commercisl DIndnatrial
Number of Firtares:
Bathwb Suuq Pump PlasOer Sinlc Roaf Disin
Shower Saa SumQlPump Scu11aY Si� Soda IAsp
Whiripool Waoer Sottenc Service Sink Coffce M1Q
Lavatory Smndpipe Rec Shsmp Sinic Site prain
Toilet Gmtage FD Surgeais Sink Waitrs Sm
Kit Sink Iocal Was�e S�eriliar Ia Chest
Dispossl Bar Sink RPZ Valvm Comm ke Maka
� Breslc�m Siat Bidet Int G�Trap
Floor Drain Claesrm S'vit Uriml Ext Grea.4e Trap
FIose B�bb F�cam Sialc Bar T� Eye Wath Sm
�y�g� F Prep Sinlc Dipper Wdl Ded�ct Meta
❑Gas O Hect a PwrVat F'loar Sok Ikink Fdn Wtr Sewer Mtr
Clatha Wsdr Fimd Sok Waah Fmn Wtr Us�Mtr
I�5'T�Y Lab Siat (�ch Basin Misc Fixoaes
Electric Contractor(for prnjects not reqniring an EIV Form)
Use/Natnre of Work �"����/� �( /Y�DI��� ��'"1'��
size Mater;al �t�pe # conn.Type
Sanitary Sewer � / ��
Storm Sewer
Water Service 3� �`%�1��G
06/09