HomeMy WebLinkAbout0103917-Plumbing (water service)OSHKOSH
ON THE WATER
.lob Address 511 GROVE ST
Contractor LEE, NORMAN
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner NORMAN J LEE
Category 401 - Residential-Exterior (laterals)
No 103917
Create Date 09/04/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
RELAY WATER SERVICE
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
1 Copper Lateral 1 Relay
0
0
Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00 ~ Permit Voided
Issued By
Date
09/04/2003
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 holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 9560 CTY RD B WINNECONNE WI 54986 - 0000 Telephone Number
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.
OSHKOSH
ON THE WATER
Job Address 511GROVE ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner NORMAN J LEE
Contmctor LEE, NORMAN
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
No 103917
Create Date 09/04/2003
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee'Maker 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
RELAY WATER SERVICE
Sanitary Sewer
Storm Sewer
Wa~rSe~ice
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
1 Copper Lateral 1 Relay
0
0
Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00 [] Permit Voided
Issued By
Date 09/04/2003
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 holder(s) and to secure any necessary approval~before starling such activity.
Signature (.. ~-' ~ ~"~,~.'~-~-"~ ~.,-~.~'.~ Date /'-/~'"--//7-'
Agent/Owner
Address 9560 CTY RD B WINNECONNE WI 54986 - 0000 Telephone Number
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.