HomeMy WebLinkAbout0117713-Plumbing (laterals)
G
OSHKOSH
ON THE WATER
Job Address 1038 E SUNNYVIEW RD
CITY OF OSHKOSH
No
117713
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TRACEY L GRUBOFSKI
Create Date 12/28/2005
Contractor RIC HUSS EXCAVATING
Category 401 - Residential-Exterior (laterals)
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait St. 0 Shamp Sink ----'! Coffee Maker ----'!
Whirlpool 0 Floor Drain ----'! Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink ----'! Catch Basin 0 Ext Grease Trap ----'!
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve ----'!
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 PlasterSink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
UseJNature
of Work
~ew sewer & water lateral install "check payment #5310
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 11/4" Copper Lateral 1 New
0
0
0 Parcelld #
0 1560060000
Valuation
$1,000.00 Plan Approval
/? ¡jell
$0.00
Permit Fees
$100.00 D PelTl1itVoided I
Issued By
Date 12/29/2005
In the perfolTl1ance of this work, I agree to perfolTl1 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 perfolTl1 the work
described in this permit application within an easement, the City strongly urges the pelTl1it applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 1008 SHERIDAN CT
Agent/Owner
KAUKAUNA
WI 54130 - 0000
Telephone Number
1-920-766-7713
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.