HomeMy WebLinkAbout0116746 P
e CITY OF OSHKOSH No 116746
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 25JACOBAVE Owner PATRIARCHS SUBDIVISION LLC Create Date 10/12/2005
Contractor J & P EXCAVATING Category 401 - Residential-Exterior (laterals) Plan
Bathtub 0 Shower 0 WaterSoftner 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 RPZValve 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 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtra 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
iffi' ~Æ~
Sanitary Sewer
Size
4"
Material
Plastic
Type
Lateral
#
Conn. Type
1 New
0
0
0
0
Storm Sewer
4"
Plastic
Lateral
1 New
0
0
0
0
Water Service
11/4"
Plastic
Lateral
1 New
0
0
0
0
$150.00 0 Permit Voided I
Parcelld #
1416581500
Valuation
$800.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 10/12/2005
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 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
AgenUOwner
Address 3162 SCENIC DR OSHKOSH WI 54904 - 0000 Telephone Number 379-0309 (C)
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.