HomeMy WebLinkAbout0115630-Plumbing (laterals)
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OSHKOSH
ON THE WATER
Job Address 450 JOSSL YN ST
Contractor ARGO CONTRACTING
CITY OF OSHKOSH
No
115630
PLUMBING PERMIT -APPLICATION AND RECORD
OWner BOARD OF REGENTS UNIV OF WIS SYS
Create Date 08105/2005
Plan
Category 430 - Industrial-Exterior (laterals)
Bathtub 0 Shower ~ Water Sollner 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray ~ Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher ~ BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump ~ Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink ~ DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind ~ Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
Extend storm lateral onto authletlc field by Titan Stadium off of Campbell Rd. (ck# 1103)
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 15" Plastic Lateral 1 New
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 1608820000
$1.200.00
Plan Approval
$0.00
Permit Fees
$50.00 D Permit Voided I
Valuation
Issued By
Date 08105/2005
In the performance of this work. I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enlorce easement restrictions 01 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 belo . ac IVI .
Signature
Date
8-> ,--05
Address N6049 CTY RD UU
FOND DU LAC
WI 54935 - 0000
Telephone Number
920-907-0226
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.