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0
OSHKOSH
ON THE WATER
Job Address 1270 HEIDI HAVEN DR
CITY OF OSHKOSH
No
115753
PLUMBING PERMIT. APPLICATION AND RECORD
Owner
Category 401 - Residential-Exterior (laterals)
Contractor J & P EXCAVATING
Create Date 08/12/2005
Plan
Bathtub 0 Shower 0 Water Softner 0 Wai\.S\.
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink
Toilet 0 Disposal 0 Bidet 0 Sculry Sink
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink
Misc. 0
Fixtures
0 Shamp Sink 0
-
0 FlrlWst Sink 0
0 Catch Basin 0
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp 0
Coffee Maker ---.--J>
Int Grease Trap ---.--J>
Ext Grease Trap ---.--J>
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs ---.--J>
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
of Work
I"'('~'-'
Sanitary Sewer
Size
4"
Material
Plastic
Type
Lateral
# Conn. Type
1 New
0
0
0
0
1 New
0
0
0
0
New
Storm Sewer
4"
Plastic
Water Service
1-1/4"
Plastic
Lateral
Lateral
Parcelld #
1342954200
Valuation ------ $650.00
Issued Bif
$0.00
Permit Fees
$150.00 D Permit Voided I
Plan Approval
Date 08/12/2005
In the performance of this work, I agree to perform all work pursuant to rules 90veming 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
AgenUOwner
Address 3162 SCENIC DR OSHKOSH WI 54904 - 0000 Telephone Number 379-0309 (C)
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.