HomeMy WebLinkAbout0117826-Plumbing (sanitary sewer)
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OSHKOSH
ON THE WATER
Job Address 1116GRANDST
Contractor MR ROOTER OF THE FOX VALLEY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
117826
Category 401 - Residential-Exterior (laterals)
Create Date 01/09/2006
Plan
Owner BRIAN AlTRACY A BUSKE
Bathtub ~ Shower 0 Water Softner ~ Wait. St. 0
Whirlpool 0 Floor Drain ~ Local Waste 0 Ice Chest ~
Lavatory ~ Lndry Tray 0 Clothes Wshr ~ Exam Sink 0
Toilet ~ Disposal 0 Bidet ~ Sculry Sink 0
Res. Sink ~ Dishwasher ~ Beer Tap 0 Hand Sink ~
Bar Sink ~ Sump Pump ~ Lab Sink ~ Plaster Sink 0
Water Heater 0 Classnm Sink 0 Sterilizer ~ Surgeons Sink 0
Site Drain 0 Breakrm Sink ~ DipWell 0 F Prep Sink ~
Roof Drain ~ Ejector/Grind ~ Drink Ftn 0 Serv Sink ~
Misc. ~
Fixtures
Shamp Sink ~
FlrlWst Sink 0
Catch Basin 0
Wash Ftn 0
Urinat ~
Standp Rec ~
Ice Maker 0
Gar Drain 0
Soda Disp 0
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve ~
EyeWashStatn ~
Wtr Sewer Mtrs 0
Deduct Meters ~
Wtr Usage Mtrs 0
Use/Nature
of Work
I~"-"""" M'IT~~"
Sanitary Sewer
Size
4"
Material
Plastic
Type
Lateral
#
Conn. Type I
1 New
0
0
0
0
0
0
0
0
0
Storm Sewer
Water Service
Parcelld #
1008590000
Valuation
$1,500.00
Plan Approvat
$0.00
Permit Fees
$50.00 0 Permit Voided I
Issued By
Date 01/09/2006
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 se:,:?a ne~arpß'!Õval",before starting such activity.
Signature /1" j ~ ~
Agent/Owner
Address PO BOX 3063
APPLETON
WI 54914 - 0000
Date 1/9 Ie> ~
I /
Telephone Number 920-687-9178
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.