HomeMy WebLinkAbout0117701-Plumbing (laterals)
G
OSHKOSH
ON THE WATER
Job Address 3275 CASEY TRL
Contractor ADVANCE CONSTRUCTION INC
CITY OF OSHKOSH
No
117701
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHET WESENBERG
Create Date 12/28/2005
Category 401 - Residential-Exterior (laterals)
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 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 Púmp 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 EW SANITARY. STORM AND WATER LATERALS FOR NSF "PAID CASH
of Work
Coffee Maker 0
Int Grease Trap ----.9.
Ext Grease Trap ----.9.
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Sanitary Sewer
Size
4"
Material
Plastic
Type
Lateral
#
Conn. Type
New
Storm Sewer
4"
Plastic
Lateral
New
Water Service
11/2"
Plastic
Lateral
New
Parcelld #
Not Assign
$2,000.00
Plan Approval
$0.00
Permit Fees
$150.00 0 Permit Voided I
Valuation
Issued By
Date 12/28/2005
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 2082 LONDON RD
Agent/Owner
GREEN BAY
WI 54311 - 0000 Telephone Number
920-468-9386
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.