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Home My WebLink About0104368-Plumbing (automatic sprinkler system) � CITY OF OSHKOSH No 104368��;. ��:f� OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD vc� 5�� ON THE WATER ��(�� Job Address 2450 SECURITY DR Owner SCOTT D LUDWIG/KASI L KRAUSE Create Date 09/23/2003 Contractor HOMEOWNER Category 402-Residential-Exterior(other) Plan Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whiripool 0 Floor Drain _ 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int GreaseTrap 0 Res.Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap o Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0 Water Heater 0 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature FR/Install underground automatic sprinkler system. of Work Size Material Type # Conn.Type Storm Water � 0 0 0 � Valuation $2,500.00 Plan Approval $0.00 Permit Fees $20.00 ❑ Permit Voided Issued By Date 09/24/2003 The undersigned,in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned,hereby acknowledges,per Wisconsin State Statutes,ss 145.06,that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 339 P107N WESTHAVEN DR OSHKOSH WI 54904 7438 Telephone Number To schedule inspections please call the InspQCtion 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. 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. Ci±y of Oshkosh ` ,;;t; `=;�� J Inspecrion Services Division � �� . � P O Box 1130 � � �`°°°``'��" Oshkosh, WI 54903 1130 I� Phone: (920)236-5050 �,� Fax: (920) 236-5084 S�� 01HKOf H �� -�� ! ON THE V,/ATFR �o� DEP,qRTNj Plumbing Per�i ��4r��on �PM �]' I hereby apply for a permit to do and install the following plumbing on the premises herei�a£ter descnbed,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 2�5 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 If vou are a contractor participatin� in the Permit Fee Account Svstem and have adeguate funds check here i�you want this processed through your account n Job Address ��5� ��V�� I�i'� • Vallle (Includinglaborandmaterials��.S�� Date e�� %`I 0;3 Owner ��rT L�E>'�-`�4 Contractor C�wNt�2- � � �v,c- �Single Family� ❑Duplex �Multi-Family ❑Rental ❑Commercial ❑Industrial c�03 � �� " /j/ , �`�a — �� '`'t�� Number of Fixtures: � ! v K � Bathtub _ Lndry Standp Dent.Oper. Shamp Sink Whirlpool _ Disposal Dip Well Flr/Wst Sink Lavatory _ Dishwasher Drink Ftn Catch Basin Toilet Sump Pump Wait.St. Wash Fm Res.Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Sofiner Exam Sink Gar Drain Water Heater _ Local Waste Sculry Sink Soda Disp ❑Gas O Elect 0 PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap � Serv Sink Site IJrain Lndry Tray _ Classrm Sink Int Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink R.P.Z.Valve Eye Wash Sfi Sterilizer Electric Contractor OR ❑Electric Installation Verification form attached (If Replacement) Use/Nature of Work l��i ��C�24�!n(� ;�t'v;�'r�a�f-T ?C ��'2.�i1,�)L�_ .5 j'5,�--.-� Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service �/os