HomeMy WebLinkAbout2005-Plumbing (laterals)
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OSHKOSH
ON THE WATER
Job Address 1095ZACHERDR
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JOHN EfTHERESA STROUS
Category 401 - Residential-Exterior (laterals)
0 Water Softner 0 Wait.St. 0 Shamp Sink 0
0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
0 Bidet 0 Sculry Sink 0 Wash Ftn 0
0 BeerTap 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
0 DipWell 0 F Prep Sink 0 Gar Drain 0
0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
No
116483
Create Date 09/27/2005
Contractor VAN HANDEL, TOM CORP
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Disposal
Res, Sink 0 Dishwasher
Bar Sink 0 Sump Pump
Water Heater 0 Classrm Sink
Site Drain 0 Breakrm Sink
Roof Drain 0 Ejector/Grind
Misc. 0
Fixtures
Use/Nature r""
of Work
Plan
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Sanitary Sewer
Storm Sewer
Size
4"
Material
Plastic
Type
Lateral
# Conn. Type
1 New
0
0
0
0
New
4"
Plastic
Lateral
Water Service
11/2
Plastic
Lateral
New
Parcelld #
1560104500
Valuation
$1,500.00
$0.00
$150.00 D Permit Voided I
Plan Approval
Issued By
Penmit Fees
Date 09/27/2005
In the perfonmanee of this work, I agree to perfonm all work pursuant to rules goveming 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 tI1e work
described in this permit 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
Telephone Number 920-735-1221
Address 1830 E EDGEWOOD DR
AgenUOwner
APPLETON
WI 54913 - 0000
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.