HomeMy WebLinkAbout0117240-Plumbing (repair lateral)
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OSHKOSH
ON THE WATER
Job Address 655 W SOUTH PARK AVE
Contractor TOM JOHANN PLUMBING LLC
CITY OF OSHKOSH
No
117240
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARY L PIERCE
Create Date 11/10/2005
Category 401 - Residential-Exterior (laterals)
ptan
Coffee Maker 0
Int Grease Trap ~
Ex! Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Bathtub 0 Shower 0 Water Softner 0 WaitSt 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink ~
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin ~
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn ~
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain ~
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp ~
Misc. 0
Fixtures
Use/Nature
ofWork
Valuation
Issued By
Repair sanitary sewer lateral by inserting PVC replacement section (ck# 2139)
Size Material Type # Conn. Type
Sanitary Sewer 6" Vitrified Clay Lateral 1 Repair
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 1304570000
$500.00
$0.00
$50.00 0 Permit Voided I
Permit Fees
Plan Approval
Date 11/10/2005
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 hoider(s) and to secure any necessary approvals before starting such activity.
Address W1430 OLD BRIDGE RD
Signature
Date
Agent/Owner
CAMBLESPORT
WI 53010 - 0000
Telephone Number 262-626-1605
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 othervvise, 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.