The URL can be used to link to this page

Home My WebLink About0156294-Plumbing (laterals) � CITY OF OSHKOSH No 156294 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1728 GLENWOOD DR Owner WISCONSIN MHP 6, LLC Create Date 06/19/2013 Contractor ABSOLUTE PLUMBING OF WISCONSIN Category 401 -Residential-E�erior(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 Whiripool 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. 0 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 IMOBILE HOME/sanitary and water laterals � of Work "ck#2651*** �_ : 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 ,7� Date O6/19/2013 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. RECEIV��D City of Oshkosh Inspection Services Division � P o soX i i3o JUN 19 2013 Oshkosh,WI 54903-1130 � Phone:(920)236-5050 Fax:(920 236-5084 DEPART�tE1T OF n�� C0�1�tUX1TY DE�'ELOP�1E'�T INSPECTIO�SF,RVif_ES Di�'ISl Q�rHE 4vnT-R 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 normal permit fee,which ever is greater. OR IJvou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds, check here if vou want this processed through vour account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�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 snbmitted withont an EIV when such is required, will not be processed for Permit Issnance and will be retnrned for compledon. Job Address��`� ��aIUC(Including labor and materials)�� Date ��/V �� Ownert�l/s'cGvt/-si�/l9f�i� �'c'.LG Contractor ��'��Ur� /�G.��'l��/�E� Single Family ❑Duplex ❑Multi-Family ❑Rental ❑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 Sm Kit Sink Local Waste Steritizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Sm Water Heater F Prep Sink Dipper Well Deduct Meter ,Gas C Elect i-PwrVnt Floor Sinl: Drir.k Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fnfi Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work /�� C�r/�� '/'�t�/�!`� SS�—�'�� Size Material Type # Conn.Type Sanitary Sewer � �If � v " � N� Storm Sewer Water Service �� /�G��G �fjjL�� /V� � 06/09