HomeMy WebLinkAbout0111092-Plumbing (laterals)OSHKOSH
ON THE WATER
Job Address 3130 WHITE TAIL LN
Contractor 4 WAY CONSTRUCTION
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WAUKAU LLC
Category 401 - ResidentiaPExtedor (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 LndryTray 0 Local Waste 0 Wait, St. 0 Shamp Sink __
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/~Nst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No lf1092
Create Date 10/13/2004
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int GreaseTrap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 Eye Wash Statn 0
0
0
Use/Nature
of Work
INEW SEWER AND WATER LATERALS FOR 4-UNIT APARTMENT
Size Material Type
Sanitary Sewer 6" Plastic Lateral
Storm Sewer
Corm. Type
1 New
0
0
0
0
0
0
0
0
0
Water Service 2" Plastic Lateral I New
0
0
0
0
Valuation $2,500.00 Plan Approval $0.00 Permit Fees $100.00 [] Permit Voidedj
Issued By
Parcel Id #
Date 1~13~004
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 e~Jsement, the City strongly urges the permit applicant to contact the
easement holder~ a~o sec~,e.c,~,_,ne.e~sC/~ry approvals before starting such activity.
Signature ~.~ ~.~/ - ~¢C~'~,..~'~-2 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.