HomeMy WebLinkAbout0118964-Plumbing (laterals)
0
OSHKOSH
ON THE WATER
Job Address 1527 HAZEL ST
CITY OF OSHKOSH
No
118964
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SHARON POTRATZ
Create Date 04/17/2006
Plan
Contractor COATS, KEITH
Category 401 - Residential-Exterior (Iaterais)
Bathtub 0 Shower 0 WaterSoftner 0 Wait.S!. 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
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
ofWork
RELAY WATER AND SANiTARY LATERALS AND INSTALL NEW STORM LATERAL.
Size Material Type # Conn. Type
Sanitary Sewer 4" Piastic Main 1 Reiay
0
0
0
0
Storm Sewer 4" Piastic Lateral 1 New
0
0
0
0
Water Service 1" Copper Lateral 1 Relay
0
0
0 Parcelld #
0 1511330000
Valuation
$12,000.00
Plan Approval
$0.00
Permit Fees
$150.00 0 Permit Voided I
Issued By
Date 04/17/2006
In the pelformance of this work, I agree to pelform 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 pelform the work
described in this permit appiication within an easement, the City strongly urges the permit appiicant to contact the
easement hoider 5) and to se re any nec. essary aœvals before starting such activity.
Signature 0 ~
Agent/Owner
Date <y-I?-ó{"
Address 8424 SHIRLEY CT
WINNECONNE
WI 54986 - 9533
Telephone Number 920-582-3975
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.