HomeMy WebLinkAbout0103719-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 1130 N WESTFIELD ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EVERGREEN MANOR INC
Contractor AUGUST WINTERS CO Category 430 - Industrial-Exterior (laterals)
No 103719
Create Date 08/27/2003
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 ClothesWshr 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 INSTALL SEWER AND WATER LATEALS FOR NEW ADDITION.
Size Material Type # Conn. Type
Sanitary Sewer 6" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 18" Plastic Lateral 1 New
0
0
0
0
Water Service 8 Plastic Lateral 1 New
0
0
0
0
Valuation $75,000.00 Plan Approval $0.00 Permit Fees $75.00 ~J Permit Voided
Issued By
Date
08/27/2003
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 PO BOX 1896 APPLETON WI 54912 - 0000 Telephone Number
739-8881
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.
OSHKOSH
ON THE WATER
,Job Address 1130 N WESTFIELD ST
Contractor AUGUST WINTERS CO
CITY OF OSHKOSH No 103719
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EVERGREEN MANORINC Create Date 08/27/2003
Category 430 - Industrial-Exterior ([atarals) Plan
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
0 Ejector/Grind 0 DipWell 0 F PrepSink 0 Gar Drain 0
0 WaterSoftner 0 Drink Rn 0 ServSink 0 Soda Disp 0
0 Local Waste 0 Wait. St. 0 Shamp Sink 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 0 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 Wash Stato 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 SEWER AND WATER LATEALS FOR NEW ADDITION.
Sanitary Sewer
Size Material Type # Conn. Type
6" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 18" Plastic Lateral
Water Service 6 Plastic Lateral
Valuation $75,000.00 Plan Approval $0.00 Permit Fees
Issued By
I New
0
0
0
0
I New
0
0
0
0
$75.00 [] PermitVoided/
Date 08/27/2003
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 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 toAecure anyJ'~ecessary approJ~JsJpefore starting such activity.~ Date
~' AgenVOwner / /
Address PO BOX 1896 APPLETON WI 54912 - 0000 Telephone Number 739-8881
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.