HomeMy WebLinkAbout2005-Plumbing (repair water service)
~ CITY OF OSHKOSH No 115900
OSHKOSH PLUMBING PERMIT. APPLICATION AND RECORD
ON THE WATER
Job Address 1333WALNUTST Owner ST JOSEPHATS CONG Create Date 08/23/2005
Contractor SAMMONS PLUMBING Category 430 - Industrial-Exterior (laterals) Plan
Bathtub 0 Shower 0 Water Softner 0 Wait St. 0 Shamp Sink 0 Coffee Maker -.Q
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ex! Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZValve 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn -.Q
Bar Sink 0 Sump Pump 0 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 Breaknm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
Repair water service leak (Debit Account)
Size Material Type II Conn. Type
Sanitary Sewer 0
0
0
0
0
Stonm Sewer 0
0
0
0
0
Water Service 4" Iron Lateral 1 Repair
0
0
0 Parcelld II
0 1204660000
Valuation
$1,000.00
Plan Approval
$0.00
Permit Fees
$50.00 D Permit Voided I
Issued By
Date 08/23/2005
In the perfonmance of this work, I agree to perform all work pursuant to nules governing the described constnuction.
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 penmit application within an easement, the City strongly urges the penmit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 522 W. MURDOCK AVE
Agent/Owner
OSHKOSH
WI 54901 - 2298
Telephone Number 231-9880
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.