HomeMy WebLinkAbout0117427-Plumbing (repair lateral)
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OSHKOSH
ON THE WATER
Job Address 2605 JACKSON ST
CITY OF OSHKOSH
No
117427
PLUMBING PERMIT. APPLICATION AND RECORD
Owner STEVEN RfNANCY BERTZ
Create Date 11/29/2005
Contractor SAMMONS PLUMBING
Category 430 -Industrial-Exterior (laterals)
Plan
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
WIT Usage Mtrs 0
Bathtub 0 Shower 0 Water Softner 0 Wail.SI. 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0
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 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
Valuation
Issued By
Repair storm sewer lateral that had settled (Debit Account)
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 6" Plastic Lateral 1 Repair
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 1219800000
$700.00
$0.00
$50.00 D Permit Voided I
Plan Approval
Permit Fees
Date 11/29/2005
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
Address 522 W. MURDOCK AVE
Date
Agent/Owner
OSHKOSH
WI 54901 - 2298
Telephone Number 231-9880
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.