HomeMy WebLinkAbout0117032-Plumbing (laterals)
G
OSHKOSH
ON THE WATER
Job Address 1170 HEIDI HAVEN DR
CITY OF OSHKOSH
No
117032
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor J & P EXCAVATING
Category 401 - Residential-Exterior (laterals)
Create Date 10/31/2005
Plan
Owner
Bathtub 0 Shower 0 Water Softner 0 Wait St. 0 Shamp Sink ~ Coffee Maker 0
Whirlpool ~ Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink ~ Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr ~ Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn ~ RPZ Valve 0
Res. Sink 0 Dishwasher 0 BeerTap ~ Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink ~ Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec ~ Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker ~ Deduct Meters 0
Site Drain ~ Breakrm Sink 0 DipWell ~ F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain ~ Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp ~
Misc. ~
Fixtures
Use/Nature r<~".w<
of Work
Size Material Type # Conn. Type '
Sanitary Sewer 4" Plastic Lateral New
Storm Sewer 4" Plastic Lateral 1 New
0
0
0
0
Water Service 1-1/4" Plastic Lateral 1 New
0
0
0 Parcelld #
0 1342954900
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $150.00 D Permit Voided 1
Issued By Date 10/31/2005
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
Address 3162 SCENIC DR
AgenVOwner
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.