HomeMy WebLinkAbout0103873-Plumbing (sewer lateral)OSHKOSH
ON THE WATER
Job Address 36 BROAD ST
Contractor BERNDT EXCAVATING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HOOPER COMMUNITY CENTER INC
Category 430 - Industrial-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst 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
Use/Nature
of Work
Create Date
Plan
No 103873
INSERT 8X6 PVC WYE IN VCT CITY MAIN AND CONNECT TO EXISTING 6" VCT LATERAL
08/18/2003
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext Grease Trap
0 RPZ Valve
0 Eye Wash Statn
0
0
0
0
0
0
0
0
0
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
6 Vitrified Clay Lateral
# Conn. Type
0
0
Repak
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $1.000.00 Plan Approval $0.00 Permit Fees $25.00 [] Permit Voided
Issued By
Date 09/03/2003
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 easement, the City strongly urges the permit applicant to contact the
easement holdec.(s.) and to secure ar,w~nece~ary approvals b~g suc~'ctivity.
Signature _~~ ~./ (~~ Date
Agent/Owner
Address 2527 W WAUKAU AVE OSHKOSH WI 54904 - 0000 Telephone Number
235-3331
To schedule inspections please call the Inspection Request line at 236-5t28 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.