HomeMy WebLinkAbout0112036-Plumbing (sewer lateral) CITY OF OSHKOSH No 112036
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3845 GLENVIEW LN Owner DONALD C HEPPNER ETAL Create Date 12/16/2004
Contractor JOSSART BROS INC Category 430 - Industrial- Exterior (laterals) Plan
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery 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 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 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
INSTALL SAN SEWER LATERAL
Size Material Type # Conn. Type
Sanitary Sewer 0
0
8 Plastic Lateral 1 New
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcel Id #
0 1278210000
Valuation $7,800.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided
Issued By Date 12/16/2004
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
e the City of • • osh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit . pplication within an - asement, the City strongly urges the permit applicant to contact the
easement holder(s) and • secure any ne : sary pprovals b- • - - •• • • such activity.
Sig W' Date /Z ^ /r, —O
Agen • ner
Address 1682 SWAN RD DE PERE WI 54115 - 0000 Telephone Number 920 - 339 -8500
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.