HomeMy WebLinkAbout0119002-Plumbing (cap laterals for raze)
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OSHKOSH
ON THE WATER
Job Address 1624 NEBRASKA ST
CITY OF OSHKOSH
No
119002
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LESLIE A NEILSEN
Create Date 04/19/2006
Plan
Contractor POLLESCH-KINAS EXCAVATING INC
Category 401 - Residential-Exterior (laterals)
Bathtub ----.2 Shower ----.2 Water Softner ----.2 Wai!.S!. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste ----.2 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Lavatory ----.2 Lndry Tray ----.2 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink ----.2 Sump Pump ----.2 Lab Sink ----.2 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater ----.2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker ----.2 Deduct Meters 0
Site Drain ----.2 Breakrm Sink ----.2 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn ----.2 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature r' -"" _'æ-
of Work
Size Material Type # Conn. Type
Sanitary Sewer 4" Iron Lateral 1 Aband
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 3/4" Copper Lateral 1 Aband
0
0
0 Parcelld #
0 0305930000
Valuation $3,340.00 Plan Approval $0.00 Permit Fees $20.00 D Permit Voided I
Issued By Date 04/19/2006
In the performance of this work, I agree to perform 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 perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder( and to secure an cessary approvals before starting such activity.
Date
<,t-¡q-o(.
Signature
Address N6205 LAWSON DR
AgenUOwner
GREEN LAKE
Wi 54941 - 0000
Telephone Number 920-294-3879
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.
City of Oshkosh Engineering Dept. \ Street
~ion of Sanitary - Storm - Water Laterals ,;1J~¡'f(d;'"
bandonment 0 New installation
Address: I b ~Lf Date: '-I9-ób By: ~ ~/ (/../1', fllti^) ~"1
lYQ§ Material Size Depth Location
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Sanitary :;:: r()^ 'J-&f CO//.." ¿-..II' ..1 Jùhw../k.
Storm
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Water
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Property File copy
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