HomeMy WebLinkAbout0111371 POSHKOSH
ON THE WATER
.lob Address 3700 JACKSON DR
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner OSHKOSH PANTRY41 LLC
Contractor ELEXCO INC Category 430- Industrial-Exterior (laterals)
No 111371
Create Date 10/27/2004
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 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 REPAIR STORM SEWER DAMAGED IN CONSTRUCTION OF FOUNDATION FOOTINGS
of Work
Sanitary Sewer
Size Material Type
Storm Sewer 12" Plastic Lateral
Water Service
# Conn. Type
0
0
0
0
0
1 Repair
0
0
0
0
0
0
0
0
0
Valuation $3,500.00 Plan Approval $0.00 Permit Fees $50.00 ~J Permit Voided
Issued By
Parcel Id #
1527180000
Date 10/27/2004
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 423 E BRONSON RD SEMOR WI 54165 - 0000 Telephone Number
920-833-2736
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.