HomeMy WebLinkAbout0103339-Plumbing (storm sewer)OSHKOSH
ON THE WATER
.lob Address 100 W FERNAU AVE
Contractor BERNDT EXCAVATING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WORKADJUSTMENT SERVICES
Category 430 - Industrial-Exterior (laterals)
No 103339
Create Date 08/05/2003
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoffner 0 DrinkFtn 0 ServSink 0 SodaDisp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 1 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye WashStatn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work INSTALL STORM SEWER AND STORM CATCH BASIN INLET
Sanitary Sewer
Size Material Type
Storm Sewer 6" Plastic Lateral
Water Service
# Conn. Type
0
0
0
0
0
1 New
0
0
0
0
0
0
0
0
0
Valuation $3,000.00 Plan Approval $0.00 Permit Fees $31.00 ~ Permit Voided
Issued By
Date
08/06/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2527WWAUKAU AVE OSHKOSH WI 54904 - 0000 Telephone Number
235-3331
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.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the
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.
OSHKOSH
ON THE WATER
Job Address 100WFERNAU AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WORK ADJUSTMENT SERVICES
Contractor BERNDT EXCAVATING Category 430- Industrial-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink __
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink __
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec __
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 103339
Create Date 08/05/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Iht Grease Trap 0
1 Ext Grease Trap 0
0 RPZ Valve 0
0 Eye Wash Statn 0
0
0
Use/Nature
of Work INSTALL STORM SEWER AND STORM CATCH BASIN INLET
Sanitary Sewer
Size Material Type
Storm Sewer 6" Plastic Lateral
Water Service
# Conn. Type
0
0
0
0
0
I New
0
0
0
0
0
0
0
0
0
Valuation $3,000,00 Plan Approval $0.00 Permit Fees $31.00 [] Permit Voided
Issued By ¢~t~
Date 08/06/2003
In the performance of this work, I agree t~erform all wo~9~;~,u~ to rules governing the described construction.
Signature,~ /~,ctD(~0 ~ .,~,v~.~L.---~ Date
! ~ - k.7 .... (/ Agent/Owner
Address 2527 W WAUKAU AVE OSHKOSH WI 54904 - 0000 Telephone Number
235-3331
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.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the
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 aecure any necessary approvals before star~ing such activity.