HomeMy WebLinkAbout0110507-Plumbing (sewer lateral)OSHKOSH
ON THE WATER
,Job Address 216 E IRVING AVE
Oontractor HOMEOWNER
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 LndryStndp __
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS N/JANE E NINTZEL
Category 401 - Residential-Exterior (laterals)
0 Ejector/Grind 0 DipWell 0 F PrepSink
0 Water Softner 0 Drink Ftn 0 ServSink
0 LocaIWaste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIr/VVst 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 110507
Create Date 09/15/2004
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
RELAY SANTARY SEWER LATERAL
Valuation
Issued By
Storm Water
$1,000.00
Size
Material Type # Conn. Type
0
0
0
0
0
Plan Approval
$0.00 Permit Fees
$50.00 [] Permit Voided j
Parcelld #
1000390000
Date 09/15/2004
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ""~.~ ~, ~ ~--~ Date
Agent/Owner
Address 216 E IRVING AVE OSHKOSH WI 54901 4515 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5'128 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.
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.