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Home My WebLink About0156248-Plumbing (interior) � CITY OF OSHKOSH No 156248 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3265 WHITE TAIL LN Owner MIDWEST GENERAL CONTRACTORS Create Date 05/15/2013 Contractor WATTERS PLUMBING Category 442-Commercial-Interior(New/Relocated Fixt� Plan D9-506-0613-P Inspector Jerry Fabisch Bathtub _ 6 Clothes Wshr 6 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 12 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 18 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 18 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures Kit Sink 6 Standp Rec _ 0 Lab Sink 0 Beer Tap 0 Ice Chest 0 Disposal 6 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 Dishwasher 6 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drain 7 Bar Sink 0 Serv Sink 0 Wash Ftn 0 6ct Grease Trap 0 Hose Bibb 12 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 6 Use/Nature COMM/NEW 6 UNIT MULTIFAMILY/INTERIOR PLUMBING ASSOCIATED WITH THE CONSTRUCTION OF A 6- of Work IUNIT CONDO Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# Valuation $49,800.00 Plan Approval $0.00 ermit Fees $927.00 ❑ Permit Voided � Issued By �� Date 06/18/2013 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 118 MENASHA WI 54952 -0118 Telephone Number 920-733-8125 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 � P O Box 1130 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 O HKO H ON THE WATFR . Plumbing Permit Application 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. • Application(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 normaf permit fee,which ever is greater. OR If vou are a contractor participatin� in the Permit Fee Account Svstem and have adec�uate�unds, check here if vou want this processed throuQh vour account n **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted with the permit application. Applications snbmitted withont an EIV when snch is reqnired, will not be processed for Permit Issnance and will be retarned for completion. ; Job Address,� ��is �✓�.�t�6�� 4wC. ValUe(Including labor and materials) ��'1. ��O Date �'/��l��3 Owner /�-�4,e � Contractor W c�� ecs � �w.,,b;�� 21 oSyO ❑Single Family ❑Duplex Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub �/ Sump Pump Plaster Sink Roof Drain Shower � 2. San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory J V Standpipe Rec Shamp Sink Site Drain Toilet � 8 Garage FD Surgeons Sink Waitrs Stn Kit Sink � Local W'aste Sterilizer Ice Chest Disposal � Bar Sink RPZ Valve Comm Ice Maker Dishwasher � Breakrtn Sink Bidet [nt Grease Trap Floor Drain � Classrm Sink Urinal Ext Grease Trap Hose Bibb �Z' Exam Sink Beer Tap Eye Wash Sm Water Heater S� F Prep Sink Dipper Well Deduct Meter �Gas Elect PwrVot Floor Sink Drink Fntn WV Sewer MV Cbthes Wshr 4 Hand Sink Wash Fnm Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) f��S'= Use/Nature of Work �i - �•l�:� � q��... .,1- � Size Material Type # Conn.Type Sanitary Sewer y �V G Storm Sewer Water Service Z �o f y 06/09