HomeMy WebLinkAbout0157666-Plumbing (new laterals) � CITY OF OSHKOSH No 157666
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 174 W WAUKAU AVE Owner WAYNE S/LORI J ALLISON Create Date 09/11/2013
Contractor D.R. HANSEN PLBG. 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
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. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures -
Kit Sink 0 Standp Rec _ 0 Lab Sink 0 Beer Tap 0 Ice Chest p
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Weli 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 0 Eye Wash Statn 0
Water Heater 0
Use/Nature 'SFR/new sewer and water laterals -
of Work
I"'debit acct*'
� I
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service 1" Plastic Lateral 1 New
Parcel Id#
1413310900
Valuation $10,000.00 Plan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided'
Issued By �V1.�
Date 09/11/2013
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 55 KNAPP ST OSHKOSH WI 54902 -3448 Telephone Number 233-1595
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 Oshko�h
Inspection Sers►i�ce.�Uivi�ion �
P O Box 1130 �
Oshkoah,WI 54903-I 130
Phonc:(9Z0)236-5050
Fax:(920)236-5084 O I--�I
UN 1NF WnT�R
Plumb`ng Permit �pplication '
I hercby apply for a pctmit to do and install the following plumbing on thc prcmiscs hereiaa�r descrihed,the work to conform to the
Wisconsin State Plumbing Code, in tl�e performance of which atl partics hereto agree to and ere bound by said statut�s.
• Application(s)and fcc(s)e�n be bmught to City Hall,Room 205 or mailcd to Ins�eetion Seavices,PO�ox 1128,Oshkosh Wl
54903�1128. Commen�cing work without permit(s)will result in f�ees being doubled or$100_00 plus the normal permit fec,which
cvor is�reater. '
OR
Ifvou ar�_a_�ontCgg,(�rpartfcipating in lhe Per_mil !'ee A t�/��,Sy„��gm and have adequatefunds, check heeg
if vou wanl Ihis n�Q,�,�r�.ged ihrovgh vour accounl__❑
**Advisory-Frnr a���icab�e�rojc�a, an.Etec�trical Installation Verif cation(E��oxion.,s�igned by the Hec�ical
Crnatx�actor oir k�omcvwarr(for instaIIations all�wed to be�te�o�otnied by t1�e homeownet)mnst bc sn'bmitted
with the permit applicat�ion. Applicat�ox�tc snbtnitted withont an EIV wbca soch is ree�au�ed,w�l�aot be
�nr4ccssed fox Pcrmit Ys.saance an�d a►�1 be x�eGarx�ed�ox co�n,picbipn. � .
Job A.dd�ss � � W v I�CU I`�alue��i�,a��s���,a�c�s> � 0(� �� Aate �� ��
owr�er ' o courractor . R . � n vr'►b 1.�,�
�Singlc Family [�Anplex Q]V,initi-Family cntal ❑Cvmmc�c�al pdwstrisl
Nnno►ber o�Fiu�tares: �
9adriub S'�tmp Pump Plastcr Sink RnofDrnin
Show�Cr San.Smnp/Pump Seullery Sink Soda Diep
Whirlpool Wstcr SoElcncr Servlce Sink Cofrx Mkr
I,AVMOry 9tsndpipe Rec Shnmp Siek Site Drain
Toilet " Garagc FD 3urReon,a�ink Waius 3tr�
Kit$ink Loca1 Was�e 3�criUzcr iCe Cltc9t
, pispo.rnl Bar 9mk RPZ Valve Comm ka Moku
pr�yha Bnenkrtn 3ink 8idd Int Grcase Trap
Ploor[hsin Cla�m Sirdc UM�I Ex�OrcesC Ttap
H�a���y [3xam Sirdc I�ecr Tep Eyc Wash Sln
Waecr Hcnror F Prep Sink Dippa VPell Dedvct Metcr
CJ Gew ll E1at Cl PvurVrrt pM�r Sirdc Urink Fnm Wtr Sewer MU
ci«�wxt� ���a 5� • . w�,Fna, : � w�u�t�U
L�dry Truy L�b Sink Cacch�saio , , Miac Pixhaea
�lech-ic Co�ntractor(for projects not reyainin�9n E�V�'orm)
Use/Nature o�Wor�C �t ,� �W'-e✓�, � �� 1���C 1�
Size Material Type #_ _ Conn.Type -
Sanitary Sewcr
Storm Sewer
Water Service
06/09