HomeMy WebLinkAbout0116853-Plumbing (water main)
G
OSHKOSH
ON THE WATER
Job Address 1551 DELAWARE ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor VAN HANDEL EXCAVATING INC
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
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
0
~
~
~
0
~
0
~
~
Owner OSH AREA SCHL DIST SOUTH PARK
Category 430 -Industrial-Exterior (laterals)
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
0
0
0
0
0
0
0
0
0
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
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
No
116853
Create Date 10/18/2005
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
Use/Nature
of Work
I-'"~"~~~'
Sanitary Sewer
Size
Storm Sewer
Water Service
4 inch
Material
Type
# Conn. Type
0
0
0
0
0
0
0
0
0
0
Relay
Valuation
o.
Parcelld #
1301920000
Issued By
Plan Approval
$0.00
Plastic
Lateral
Date 10/18/2005
In the performance of this work, I agree to perform all work pursuant to rules govemlng the described construction.
While the City oi 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 nece ry a~prova~ be.:?re starting such activity.
Signature fI~
Agent/Owner
Address 5325 N BALLARD RD
APPLETON
Permit Fees
$50.00 0 Permit Voided I
Date
/tJ-/f{-~
WI 54913 - 0000
Telephone Number 730-9000 MPRS 31
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.