HomeMy WebLinkAbout0111965-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 10 EVELINE ST
Contractor FRANK CONTRACTORS INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MATTHEW H/STACY DODGE
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 0 Water Soffner 0
Lavatory 0 Lndry Tray 0 LocalWaste 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0
Res. Sink 0 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 0 Beer Tap 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
No 111965
Create Date 12/10/2004
Plan
Dip Well 0 F Prep Sink 0 Gar Drain 0
Drink Ftn 0 Serv Sink 0 Soda Disp 0
Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Hand Sink 0 Urinal 0 EyeWash Statn 0
Plaster Sink 0 Standp Rec 0
Surgeons Sink 0 Ice Maker 0
Use/Nature RELAY BUILDING SANITARY SEWER AND WATER SERVICE
of Work
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 Relay
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 1-1/4" Plastic Lateral 1 Relay
0
0
0
0
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $100.00 ~ Permit Voided
Issued By
Parcel Id #
0803860000
Date 12/10/2004
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 3044 OREGON ST OSHKOSH WI 54902 - 0000 Telephone Number
920-426-5661
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.