HomeMy WebLinkAbout0119645- Plumbing (Storm Lateral)
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OSHKOSH
ON THE WATER
Job Address 938 N LARK ST
CITY OF OSHKOSH
No
119645
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DANIEL R JORGENSEN
Create Date OS/22/2006
Plan
Contractor D.R. HANSEN PLBG.
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Category 401 - Residential-Exterior (laterals)
Water Softner Wait.St. Shamp Sink - Coffee Maker
Local Waste Ice Chest FlrlWstSink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin - Ext Grease Trap
-
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Use/Nature Install storm sewer lateral. "(Debit Account)
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
4"
Plastic
New
Lateral
Parcelld #
1601820000
$1,500.00
Plan Approval
$0.00
$50.00 0 Permit Voided I
Permit Fees
Date OS/22/2006
In the performance of this work, I agree to perform all work pursuant to nules governing the described constnuction.
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 hoider(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Telephone Number 233-1595
Address 55 KNAPP ST
Agent/Owner
OSHKOSH
WI 54902 - 0000
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.