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Home My WebLink About0156933-Plumbing (catch basin) � CITY OF OSHKOSH No 156933 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1120 ALGOMA BLVD Owner OSH AREA SCHL DIST READ SCHOOL Create Date 07/29/2013 Contractor BERNDT EXCAVATING Category 445-Commercial-Exterior Other 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 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 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. p Fixtures Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap O lce Chest 0 Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Weil 0 Comm Ice Maker 0 Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drein 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 1 Eye Wash Statn 0 Water Heater 0 Use/Nature COMM/replacing catch basin of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0506490000 Valuation $3,500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I Issued By ��t Date 07/29l2013 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 secur ny ne ssary dpp a efore starting such activity. Signature ��.c,.�'�g�r (� 1r -,1 Date � � , / � AgenUOwner Address 2430 W WAUKAU AVE OSHKOSH WI 54904 -8985 Telephone Number (920)235-3331 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 specifed 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,WI54903-1130 � Phone:(920)236-5050 Fax:(920)236-5084 O��O � Plumbing Permit Application ON THE WATER 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 �vou are a contractor narticinatinQ in the Permit Fee Account Svstem and have adequate funds check here If vou want th�s Drocessed through your account I—I **Advisory-For applicable projects, an Electrical Installation Ve�cation(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 without an EIV when such is required, will not be processed for Permit Issnance and will be retarned for complerion. Job Address {� �aG �' 1 c'�g ^ �Q �J 9 L VaIUe(Including labor and materiais) � � Date ( l� L /� Owner C'�S��CG.S�'` �C Q,e � �{ Contractor r�h ( ��,1 j r�� ❑Single Family [�Duplez ❑Multi-Family ❑Rental ❑Commercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Dis Whirlpool Water Softener P Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Crnrage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer 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 Stn Water Heater F Prep Sink Dipper Well ❑Gas�Elect�PwrVnt Deduct Meter Floor Sink Drink Fntn Clothes Wshr Hand Sink Wtr Sewer Mtr Lndry Tray Wash Fntn Wtr Usage Mtr Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) � \ Use/Nature of Work qC ��e QS, r� Size Material Type # Conn.Type Sanitary Sewer ' Storm Sewer Water Service 06/09