HomeMy WebLinkAbout0117327 P
e
OSHKOSH
ON THE WATER
Job Address 523 E PARKWAY AVE
CITY OF OSHKOSH
No
117327
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BOYS AND GIRLS CLUB OSHKOSH INC
Contractor COATS, KEITH
Category 430 - Industrial-Exterior (laterals)
Create Date 11/16/2005
Plan
Bathtub ~ Shower ~ WaterSoflner ~ Wait.St. 0 Shamp Sink ~ Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink ~ Int Grease Trap 0
Lavatory 0 Lndry Tray ~ Clothes Wshr ~ Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet ~ Sculry Sink 0 Wash Ftn 0 RPZValve 0
Res. Sink 0 Dishwasher 0 BeerTap ~ Hand Sink 0 Urinal ~ Eye Wash Statn 0
Bar Sink ~ Sump Pump ~ 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 0 Deduct Meters 0
Site Drain ~ Breakrm Sink ~ DipWell 0 F Prep Sink 0 Gar Drain ~ Wtr Usage Mtrs 0
Roof Drain ~ Ejector/Grind ~ Drink Ftn ~ Serv Sink 0 Soda Disp ~
Misc. 0
Fixtures
Use/Nature bandon water and sewer, building to be razed.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 6" Vitrified Clay Laterai 1 Aband
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 3/4" Copper Lateral 1 Aband
0
0
0 Parcelld #
0 0404870000
Valuation Plan Approval $0.00 Permit Fees $100.00 D Permit Voided I
Issued By Date 11/16/2005
In the performance of this work, I agree to perform all work pursuant to ruies governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a pariy, if you perform the work
described in this permit appiication within an easement, the City strongly urges the permit applicant to contact the
easement hol~r(s and to se re an necessary approval before starting such activity.
Signature
Date / /- /6 -ð"---
Address 6424 SHIRLEY CT
Agent/Owner
WINNECONNE
WI 54986 - 9533
Telephone Number 920-582-3975
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.