HomeMy WebLinkAbout0111093-Plumbing (laterals)OSHKOSH
ON THE WATER
Job Address 3140 WHITE TAIL LN
Contractor 4 WAY CONSTRUCTION
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WAUKAU LLC
Category 401 - Residential-Exterior (laterals)
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
0 Shower 0 Ejector/Grind 0 Dip Well 0 FPrepSink __
0 Floor Brain 0 Water Softner 0 Drink Ftn 0 Serv Sink
0 LndryTray 0 Local Waste 0 Wait. St. 0 ShampSink __
0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec __
0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 111093
Create Date 10/13/2004
Plan
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext GreaseTrap
0 RPZ Valve
0 Eye Wash Statn __
0
0
0
0
0
0
0
0
0
Use/Nature
of Work
NEW SEWER AND WATER LATERALS FOR 4 UNIT APARTMENT
Size Material Type # Conn. Type
Sanitary Sewer 6" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 2" Plastic Lateral 1 New
0
0
0
0
Valuation $2,500.00 Plan Approval $0.00 Permit Fees
Issued By
$100.00 [] PermitVoided]
Parcel Id #
Date 10/13/2004
In the peflormanca 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 to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address P.O. BOX 133 BERLIN WI 54923 - 0133 Telephone Number
920-361-1403
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.