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2013-Plumbing (storm sewer lateral)
/�'� CITY OF OSHKOSH No 156226 = OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1030 WASHINGTON AVE Owner MARGARET H WACHTEL REV TRUST Create Date 06/17/2013 Contractor M P KELLY 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 RP2 Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 0 FldWst 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�ocal 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 SFR/STORM SEWER LATERAL of Work "'**ck#12754*"' � Size Material Type # Conn.Type Sanitary Sewer Storm Sewer 6" Plastic Lateral 1 New Water Service Parcel Id# 1100420000 Valuation $2,000.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided�I Issued By T� Date O6/17/2013 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to secure any necessary approvals before starting such activity. Signature Date AgenUOwner Address 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. G6. IJ. LV11 IV�/V►11►1 v� � l v� vv.n��svvn �snv�� �v� �vn � � �� �:. ty Qf t��l�ah .. . . .' ' '�pacpcut S�rvic�os Dtvi�to� � ;J�3clx 1 i30 �hltos�,'CV7 3�903•}I3D �� ,,�e,�9����� -��, RECEIVEI) , � �: �, . K�(no3 z��.so�4 � , . JUN 17 2013 Pl��i��.�+�r�rit�1p.p�i���c�n � DEPARTAIE�T OF ,ercbY�ArY£orA petmikto•�o•nmd i��l the��g��$�t�,C�q�fi�ely dass���iE`WOi�C W�! C JZ�tUtiiTY DE�'ELOPJIEVT WIsr,vnsitirSt�to PlqqnbL�Godaer lq����[ROO�LVy�lI6b aI��,�p,�r��.�AAhd�iD , Ti��SERVi�es�r�•�sior �d!�d'b�$aic#.dtntttMt. Appli�ecio�(s)and�s).c�a b��rs���ky`..�.R�em�45 cor+m►�Ue�l-�����ganri�,:�p��,iE 1�2E��hl�ah:'9VI sa9o3-!t�E. C�encmg aaelc�dsvro�parmic�jw�31 i;�ait.in ik�Br#ig+��crtS��.DU�ius-ths��r.t�i�t t�n,which sverfsgtneur, , �. � , , � ; . , . - - . • f ;LL : n1. . , , . : . �Ad�lsc�-P�r��1�t�bk�ct�,�-l�i+����t�n'�!' .��-. �t�rac�r.af�t�mt��r���at��:a�o�t+�:t�n��e�f+��d�g:�a���$�����catt h t�e�e�it'�'p�i�i3an. A;�r,�lut�rtt�toRS s�b�a�t�d��e�et�qn�,�'{�'v��n�,��� ��.�6��abi��e� �e��ed fat P�ndt�ta�p��w.�:�a�;�or s'�p��tan, � ��,�r�::rnt�e /030 . ; . . ��`t��� � �u�C(7neludin�J�btir�adm,ucsiris) � �� �.-- ._, . :. . . ���� �.7� �C�' . . � � �0I1�Y'ftC�p]" , .. . , -- . • ; . . _ . . : 1:. .. .., �� �nplex �1V�u�t�-�mi�Y, ; . [��emi��1 .:_ ,_ . �`]�Camm�rt�a� ' �ht��Yr�� � .. nber o��t�r.�es: aub , , S�p:Munp P1att�rS#Nc � �ret �� ��� � , S�a.Sump�P�t1�p 3euNmy�lnk � S�R,�i�p _� ripeol w,;_,_,_ W,�tes.:SolNo�er $e�A�osSink �� -.- �tory SI�n+IplpeAec Sbtdn�SlAk �- �e�"�kr �� ;t �t:� --•--,:. Sit��Jhfe j� • _.._ 3uR�06ps•Sink -W-....,. 'C�dirs Sf11 —...�... Locd Was� ..._... 05i1 B�r3inlc --�... 8taitittt Yoo Chest T_ - :1t�G'W'rlv� � Gomqltarl►hbe� �u1ia gra�l�he 3iNc .Bldet �'- ..-..._ Dreln ClRSSmf alnk � 1,1'tintf �T i���� Hlbb 14xup Sidk �� -"""" �`4��P . --�_ Seer T�p �W+�� rHe�ta 1°l7ep SWc DIRAer`�ell "'°`-- �p Eleetd�nt �+loor Sink '-"" �'�� .nrank kho, �tr sewer. a Wslir �� ��Ind:9iNt _,,,,_.. Wf�h Fntn �� � �°y C,�b Sfnk WtrU�psl�k Citch:SisiA Itiliso=P,�ttanb �^ —'" -r-�.. :0�'tt•A��02'i��,�'�'����:�10�x'E�u�$��ll _+.��'O�"111j ure of'9�ork ._^c�-�-6�� S�� � _ , ' ..�- --. � � �U�s . �#a�ie`l x'yp° # �ann."fiype � . r' ta.ry�S�wor ` . ` � Od m sCwar �r� l� � �. ,(� �� � �� `�"� / :r S • V�. � � r��J� � f �� J ��� t � � • O1S/A9