HomeMy WebLinkAbout0116605-Plumbing (laterals)
G
OSHKOSH
ON THE WATER
Job Address 3159 QUAIL RUN DR
CITY OF OSHKOSH
No
116605
PLUMBING PERMIT - APPLICATION AND RECORD
0
0
0
0
0
0
0
~
0
0
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Contractor VAN HANDEL, TOM CORP
Owner ANDREW HOMES INC
Create Dale 10/04/2005
Category 401 - Residential-Exterior (laterals)
0
~
0
0
0
0
0
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0
Water Softner
Local Waste
Plan
WI 54913 - 0000
0 Shamp Sink ~
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
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
Bathtub
Whirlpool
Lavatory
Toilet
Res, Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc,
Fixtures
Use/Nature
ofWork
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
0
0
0
0
0
0
0
0
0
Wai!.S!.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
r""o>"-'
Valuation
Issued By ,JJ-"
Sanitary Sewer
Size
4"
Storm Sewer
4"
Water Service
1-1/2"
Material
Plastic
Plastic
Plastic
Type
Lateral
#
Plan Approval
$0.00
$1,450.00
Permit Fees
Conn. Type
New
Lateral
1 New
0
0
0
0
Lateral
New
Parcet Id #
0660300000
$150.00 0 Permit Voided i
Date 10/04/2005
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 tI1e work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 1830 E EDGEWOOD DR
Agent/Owner
APPLETON
Telephone Number 920-735-1221
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.