HomeMy WebLinkAbout0115757-Plumbing (sewer lateral)
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
e
OSHKOSH
ON THE WATER
Job Address 1408 W BENT AVE
Owner FRED J STEPHANY
Category 401 - Residential-Exterior (laterals)
Contractor MR ROOTER OF THE FOX VALLEY
No
115757
Create Date 08/15/2005
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait.St. 0
Whirlpool 0 Floor Drain 0 local Waste 0 Ice Chest 0
lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0
Bar Sink 0 Sump Pump 0 lab Sink 0 Plaster Sink 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0
Misc. 0
Fixtures
Use/Nature r~."."'-'
of Work
Shamp Sink --.2.
FlrlWst Sink 0
Catch Basin --.2.
Wash Ftn --.2.
Urinal 0
Standp Rec 0
Ice Maker --.2.
Gar Drain 0
Soda Disp --.2.
Coffee Maker --.2.
Int Grease Trap --.2.
Ext Grease Trap --.2.
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Sanitary Sewer
Size
4"
Type
Lateral
Conn. Type
Relay
Material
Plastic
Storm Sewer
Water Service
#
1
0
0
0
0
Parcelld #
1200920000
Valuation .-$4,000.00
Issued B~
$0.00
$50.00 D Permit Voided i
Permit Fees
Plan Approval
Date 08/15/2005
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 a ication within an e ement, the City strongly urges the permit applicant to contact the
easement holder t s r any s ry approvals before starting such activity.
Signature
AgenUOwner
OSHKOSH
~ 54901 - 0000 Telephone Number 920-426-9191
Date
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.