HomeMy WebLinkAbout2004-Plumbing (storm sewer only)OSHKOSH
ON THE WATER
.lob Address 110 N SAWYER ST
Contractor DIG INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LOURDES ACADEMY
Category 430 - Industrial-Exterior (laterals)
No 107720
Create Date 04/28/2004
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash 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
of Work
LOURDES HS
ADDITIONS/ALTERATIONS SANITARY SEWER ONLY
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
6 Plastic Lateral
# Conn. Type
0
0
1 New
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $50.00 ~ Permit Voided
Issued By
Parcel Id #
Date 04/28/2004
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
Agent/Owner
Address N2526 SOMMERS DR APPLETON WI 54915 - 0000 Telephone Number
731-0334
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.