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Home My WebLink About2013-Plumbing (laterals) /�'� CITY OF OSHKOSH No 157684 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 923 S MAIN ST Owner TDS PROPERTIES LLC Create Date 09/12/2013 Contractor CARL BOWERS&SONS CONSTRUCTION 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 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 FldWst 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 Scuiry 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 COMM/exterior laterals for commercial building/replacing laterals that are in right of way of Work ' i I i � � Size Materiat Type # Conn.Type Sanitary Sewer 6" Plastic Lateral 1 New Storm Sewer Water Service 1" Plastic Lateral 1 New : Parcel Id# 0301980000 Valuation $6,000.00 Plan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided Issued By S�� Date 09/12/2013 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holde�(s)and to secure any necessary approvals before starting such activity. : Signature ��t��G- !%J �� Date g '� �� — �� - AgenUOwner Address N1844 MALONEY RD KAUKAUNA WI 54130 -0000 Telephone Number 920-766-2629 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not pertormed within two business days from the time the project is ready. City of Oshkosh : Inspection Services Division � P O Box 1130 � Oshkosh,WI54903-1130 Phone:(920)236-5050 OlHK01H Fax:(920)236-5084 ON THE WATER Plumbing Permit Application I hereby apply for a perrr►it to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. � Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$]00.00 plus the normal permit fee,which ever is greater. OR Ifyou are a contractor participating in the Permit Fee _Account Svstem and have adequate funds, check here if vou want this p�•ocessed throu�h vour account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contractor or I3omeowner(for installations allowed to be performed by the homeowner)mnst be submitted with the permit application. Applications snbmitted without an EIV when such is required, will not be processed for Permit Issnance and will be returned for completion. 97y�J�� ` / � / Job Address /�v /��! �J� VSIUC(Including labor and materials) b C�� Date ��01 ^ ( Owner �i�h4 5 ��eS Contractor ��'� ��w �� ` �.�i� CO�tS�' ❑Single Family ❑Duplex ❑Multi-Family ❑Rental ommercial ❑Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service 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 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 Deduct Meter G Gas C�Elect C PwrVnt Floor Sink Drink Fntn Wtr Sewer MV Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fi�ctures . Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work Size Material Type # Conn.Type 6 �� P�� Sanitary Sewer Storm Sewer Water Service � // �'Q,S�'►�- 06/09