HomeMy WebLinkAbout0109663-Plumbing (laterals) �cV
. /� CITY OF OSHKOSH ; ' ��, �"��. No 109663
� � ,
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECO °r��
ON THE WATER
Job Address 780 HIGH ST Owner UNIVERSITY OF WISCONSIN OSHKOSH Create Date 07/29/2004
Contractor SCOTT DENOBLE&SONS SEWER&WATER IN� Category 430-Industrial-Exterior(laterals) Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drein 0
Whirlpool 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 Flr/Wst Sink 0 Int Grease Trep 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 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
of Work
TAYLOR HALL ALTERATIONS
Size Material Type # Conn.Type
Sanitary Sewer 0
0
8 Plastic Lateral 1 New
0
0
Storm Sewer p
0
0
0
0
Water Service 0
0
8 Iron Lateral 1 New
� Parcel Id#
0
Valuation $26,000.00 Plan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided�
issued By Date 07/29/2004
In the performance of this work,I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to force easement restrictions of which it is not a party,if you perform the work
described in this p it appliqtion withi ,an se ent,the City strongly urges the permit applicant to contact the
easement holder(� and se re an ece ry provals before starting such activity.
Signature � ^ � Date Q�� �
AgenUOwner
Address 1910 VERLIN RD GREEN BAY WI 54311 -0000 Telephone Number 920-469-2420,920-4
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.