The URL can be used to link to this page

Home My WebLink About0157456-Plumbing /�"� CITY OF OSHKOSH No 157456 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3747 GLENKIRK LN Owner WINNEBAGO VACANT Create Date 08/27/2013 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 WhiMpool 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/water and sewer laterals for new mobile home on lot of Work '**ck#2721'* I 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 $400.00 Plan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided I Issued By Date 08/28/2013 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 Agent/Owner 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 Secu�e(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.lHK� oN sHe tivnTeR 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 aze 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 �vou are a contractor an rticipating in the Permit Fee Accourrt System and have adequate funds check here rf vou want this�cessed through your account �] **Advisory-For applicable projects,an Electricat Installation Verification(EI�form,si�ned by the Electrical Contcactor or Homeowner(for installadons allowed to be performed by the homeowner)must be snbmitted with the permit application. Applications snbmitted withont an EIV when snch is reqnired,will not be processed for Permit Issnance and will be retorned for completion. Job Address �� '�� Value��i�a�g�8��,a�c��s> Date v�� --3 � Own GJ�SC67r�//�/I�`�/�6 �� Contractor >9��Zd�1� �G�Uh?1�✓�6 ingle Family ❑Duplex OMulti-Family QRental ❑Commercial ❑Industrial Number of Fiatures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whidpool Water Softener 5ervice Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Baz Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet Int G�ease 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�Elect�PwrVnt Floor Sink Drink Fnm Wtr Sewer Mtr Ctothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work/��l�G� �/L9,7�� SLr1ir/�-�� S��L�� /�—�� Size Material Type # Conn.Type Sanitary Sewer � �� Storm Sewer Water Service �f� ��//G 06/09