HomeMy WebLinkAbout0116414-Plumbing (cap laterals)
0
OSHKOSH
ON THE WATER
Job Address 515 DOCTORS CT
CITY OF OSHKOSH
No
116414
PLUMBING PERMIT -APPLICATION AND RECORD
Owner AURORA MEDICAL GROUP INC
Create Date 09/22/2005
Plan
Contractor JOHNSON & JONET MECHANICAL
Category 430 -Industrial-Exterior (laterals)
Bathtub 0
Whirlpool 0
Lavatory 0
Toilet 0
Res. Sink 0
Bar Sink 0
Water Heater 0
Site Drain 0
Roof Drain 0
Misc. 0
Fixtures
Use/Nature
ofWork
Shower
Floor Drain
0
0
0
0
0
0
0
0
0
Water Softner
Local Waste
Clothes Wshr
0 Shamp Sink ~
0 FlrlWst Sink 0
0 Catch Basin 0
0 Wash Ftn ~
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain ~
0 Soda Disp ~
Coffee Maker 0
Int Grease Trap 0
Ex! Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
0
0
0
0
0
0
0
0
0
Wait St.
Ice Chest
Exam Sink
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Bidet
Beer Tap
Lab Sink
Sterilizer
Breakrm Sink
Ejector/Grind
Dip Well
Drink Ftn
ap at property line, sanitary sewer & water line
Size Material Type # Conn. Type
Sanitary Sewer 4" Iron Lateral 1 Aband
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 1" Copper Lateral 1 Aband
0
0
0 Parcelld #
0 1519110300
Plan Approval
$0.00
$100.00 D Permit Voided I
Valuation $22,000.00
Issued BY~
Permit Fees
Date 09/22/2005
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 plication within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) to secure y ecessary approvals before starting such activity. - /
Signature Date V.;7";>/~
AgenVOwner / '
Address
GREEN BAY
WI 54302 - 0000
Telephone Number 920-406-7400
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.