HomeMy WebLinkAbout0118765-Plumbing (laterals)
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OSHKOSH
ON THE WATER
Job Address 4015 HEMLOCK CT
CITY OF OSHKOSH
No
118765
PLUMBING PERMIT. APPLICATION AND RECORD
OWner GF HOLDINGS INC
Contractor HANNA EXCAVATING
Category 401 - Residential-Exterior (laterals)
Create Date 04/03/2006
Plan
Bathtub 0 Shower 0 Water Softner ~ Wall.SI. 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWstSink 0
Lavatory ~ Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink ~ 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. ~
Fixtures
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn ~
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
of Work
NSFR STORM. SANITARY AND WATER LATERALS "CHECK #15844
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 4" Plastic Lateral 1 New
0
0
0
0
Water Service 1-1/4" Plastic Lateral 1 New
0
0
0 Parcelld #
0 1282001412
Valuation
$2.500.00
Plan Approval
$0.00
Permit Fees
$150.00 0 Permit Voided I
Issued By
Date 04/03/2006
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 secure any necessary approvals before starting such activity.
Signature
Date
Address 2781 VILLAGE LN
AgenVOwner
OSHKOSH
WI 54904 - 0000
Telephone Number 235-6450
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 perfonmed within two business days from the time the project is ready.