HomeMy WebLinkAbout0111140-Plumbing (sewer repair)OSHKOSH
ON THE WATER
Job Address 1328 W 9TH AVE
Contractor FREUND EXCAVATING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WILLIAM/SARAH BRODA
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 LndryStndp __
Res. Sink g Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump __
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
0 Ejector/Grind 0 Dip Well 0 F Prep Sink __
0 Water Soffner 0 Drink Ftn 0 Sen/Sink
0 LocaIWaste 0 Wait. St. 0 ShampSink
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
0 Beer Tap 0 SculrySink 0 Wash Ftn
0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 111140
Create Date 10/14/2004
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 EyeWash Statn 0
0
0
Use/Nature ;FR / SANITARY SEWER REPAIR
of Work
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 Repaif
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $2,500,00 Plan Approval $0.00 Permit Fees $50.00 [] Permit Voided
Issued By ~'~ ~, ~
Parcel Id #
0608570000
Date 10/14/2004
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 p,~rmit application within an easement, the~Ity strongly urges the permit applicant to contact the
easement holde/r.~ and to se, cure~J~/~n~'~ary approv~-,~efore starting such activity.
S ignatu re ~_~~/, .~?/~_ ~--"/'/~ Date 0/~'~ --/.~.~
Agent/Owner
Address 3135 DELHi RD OMRO WI 54963 - 0000 Telephone Number 920-685-2196
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 readyat 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.