HomeMy WebLinkAbout0158403-Plumbing (pipe burst new sanitary lateral) � CITY OF OSHKOSH No 158403
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1630 E MURDOCK AVE Owner VERONICA/AILEEN L ROTHENHOEFER Create Date 10/23/2013
Contractor RELIABLE ROOTER&PLUMBING _ 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 Vaive 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FldWst 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 p
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 ;SFR/pipe burst new sanitary lateral — �
of Work
"video evidence of proper pitch is required to be seen by the inspector"
�'*debit acct"
�_
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service
Parcei Id#
1523710000
Valuation $3,000.00 Plan Approval _ $0.00 Permit Fees $50.00 ❑ Permit Voided�
Issued By ,)�i Date 10/23/2013
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 P.O.BOX 1141 APPLETON WI 54912 -1141 Telephone Number 920-428-3948
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.
Wentz, Sandra
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us]
Sent: Wednesday, October 23, 2013 11:23 AM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:10/23/2013 11:23:26 AM :
Permit Fee Account System: YES
Job Address: 1630 e murdoch ave
Owner: aileen rothenhoefer
Contractor: RELIABLE ROOTER
Use Category: Single Family
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool• �'ater Service Coffee
' Softener: Sink: Mkr:
Lavatory• Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice Chest:
Comm
Disposal: Bar Sink: �lVe. Ice
' Maker:
Breakrm Int
Dishwasher: Sink• Bidet: Grease
' Trap:
Floor Classrm Ext
Drain: Sink: Urinal: Grease
Trap:
Hose Bibb: Exam Sink: Beer Eye Wash
Tap: Stn:
Water F Prep Sink• Dipper Deduct
Heater: ' Well: Meter:
i
Drink Wtr
Floor Sink: Sewer
Fntn:
Mtr:
Clothes �,ash Wtr
Wshr: Hand Sink: Usage
Fntn:
Mtr:
Lndry Catch
Tray: Lab Sink: Misc
Basin: Fixtures:
*USE/NATURE OF WORK pipe burst new sanitary
*VALUE 3000
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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