HomeMy WebLinkAbout0116407-Plumbing (laterals)
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OSHKOSH
ON THE WATER
Job Address 2375 SHORE PRESERVE DR
Contractor LAUDOLFF EXCAVATING & SEPTIC SERVICE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
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
Shower
Floor Drain
Water Softner
Local Waste
Clothes Wshr
0
0
0
0
0
0
0
0
0
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Bidet
Beer Tap
Lab Sink
Sterilizer
Breakrm Sink
Ejector/Grind
Dip Well
Drink Ftn
~..~. i"
of Work
Owner SIGNATURE HOMES
Category 401 - Residential-Exterior (laterals)
0
0
0
0
0
0
0
0
0
WaitSt
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
0 Shamp Sink ----.2
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
No
116407
Surgeons Sink
F Prep Sink
Serv Sink
Create Date 09/22/2005
Plan
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Sanitary Sewer
Size
4"
Storm Sewer
4"
Water Service
1-1/4"
Material
Plastic
Type
Lateral
#
Conn. Type
New
Valuation
$1,000.00
Parcel Id #
1281430000
Plan Approval
Issued By
Plastic
Lateral
New
Date 09/22/2005
In the performance 0 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 application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) a cure an ecessary approvals before starting such activity. <;'
Signature Date ~ -,;J¡) - új
Plastic
Lateral
New
$0.00
$150.00 0 Permit Voided I
Permit Fees
WI 54935 - 0000
Telephone Number
920-923-0473
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.