HomeMy WebLinkAbout0156339-Plumbing (laterals) � CITY OF OSHKOSH No 156339
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3200 KNAPP ST-EAA GROUNDS Owner Create Date 06/24/2013
Contractor KOCH PLUMBING&HEATING INC Category 444-Commercial-Exterior Laterals Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm 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 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 Heate� 0
Use/Nature COMM/installing new water service foe EAA concession area ;
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service 2" Plastic Lateral 1 New
Parcel Id#
Valuation $550.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided I
Issued By —� Date 06/24/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the Ciry 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 2005 DOTY ST OSHKOSH WI 54902 -7040 Telephone Number 920-231-6661 or 235
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 �
P 0 Box 1130
pshlcosh,WI 54903-1130
Phone: (920)236-5050 Q�KO�H
FaX: (920) 236-5084 oti rH=tv�rFe
Plumbing Permit Application
I hereby apply for a p�mit tia do and install the following pinmbmg on the premise.s hereinafter des«ibed.the work to canform to the
Wisconsin State Plumbing Code,in the perfor�nce°f which all PaTties heret°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. Commenc�g work without permit(s)will resalt in fees being doubled or$100.00 plas the normal permit fee,which
ever is greater.
OR
1 ou are a contractor artici atin in the Perrni F Account S stem a»d have ade uate unds check here
i ou want this rocessed throu h our account
�* licable sn Elecbrical Tnstallation Verificat[on(EIV)fotm,signed bp the Flecttical
Advisory-For aPP P1OJ��
Contractor or Homeowner(for instaIlati°ns aIlowed to be perfnrmed by the home°wne�')�not��d
with the permit aPPlication. Applications sabmitted without an IIV when sach is reqnired,
processed for Permit Issaance and w�l be retutaed for completion.
r �� �-�" Value (rpclnding labor and materials) "��� ` Date -� ` 3
Job Address 3�00��,'!'. ;� � �• .
Owner ��'� Contractor �D�'r �°��
�Single Family �Duplea OMntii-Family �Rental �'Co�nmercial O�d��
Number of Figtures:
S�P�P Plastet Sink Roof Drain
Bathtub �D�yp
Shower Sa°-SumP/PumP Scullery S�nk
�1�� Water Softeaer
Servlce Sink �Off��
Lavatory Standpipe Rec
Shamp Slnk Site Draio
Surgeons Sink Waitrs Sm
Tollet G�SQ�
Local Waste Sterilizex Ice Chest `
Kit Sink Comm Ice Maker
Bar Sink RPZ Valve
D�� Breakrm Sink Bidet �G�T'�
Dishwasher U� Ext G�ease Tiap
Floor Drain Classrm Sink gye Wash Sm
Exam Sink Beer Tap
Hose Bibb Deduct Meter
F Prep Sink Dipper Well
Water Heater Brinlc Fntn Wtr Sewer Mtr
❑Gas 0 Elect O PwrVnt Fioor Sink W���Mtr
Clothes Wshr Hand Sink Wash F� y
Lndry Tray Lab Sink
Catch Basin �F'�5
an EIV Forn�
Eiectric Coniractor(for projects not requiring ) � ,,,
� -=a�`1���1 !../��%��.�--�' .�•�`':��£/�,''�.sE' �/?����<'<�-� �'` ``%�.,
Use!Natare of Work � �``
Size Material Type # Conn.Type
- '
Sanitary Sewer , -
Storm Sewer
Water Service
❑This insta{iation is complete and may be inspecfied at any time_
06/09