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HomeMy WebLinkAbout0116252-Plumbing (storm drain) G CITY OF OSHKOSH No 116252 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1771-1779 W 5TH AVE Owner TONY LIT JENS Create Date 09/12/2005 Contractor FOX VALLEY EXCAVATING Category 401 - Residential-Exterior (laterals) Plan Bathtub 0 Shower 0 Water Softner 0 Wail.SI. 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 0 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 0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 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 Breakrm 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 InstaliSterm Drain Inlet and Lateral for Onsite Storm Drainage System. 36" iniet, 12"laterai. of Work Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 12 Lateral New Water Service Parcelld # Issued By Ian Approval $0.00 Permit Fees $50.00 0 Permit Voided I Valuation Date 09/12/2005 in the performan 0 this work, I a9ree to perform all work pursuant to rules 90vernin9 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 ermit application within an easement, the City strongly urges the permit applicant to contact the easement hol r(s and ,..e~n..y n/e,ssa appro s b e starting such activity. Signature , ç .;z.:¡ ~ Date 1jz/ó $"- I ¡ Address 1719 PARKWOOD DR OSHKOSH ~ 54904 - 0000 Telephone Number 414-426-0256.235-4 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.