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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.