HomeMy WebLinkAbout0119919-Plumbing (repair water service)
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OSHKOSH
ON THE WATER
Job Address 1207 HIGH AVE
CITY OF OSHKOSH
No
119919
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner 1207 HIGH AVENUE LLC Create Date 06/07/2006
Category 401 - Residential-Exterior (laterals) Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink 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
Contractor FREUND EXCAVATING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature REPAIR WATER SERVICE
of Work
Valuation
Issued By
Size
#
Material
Type
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
1"
Copper
Lateral
Repair .
Parcelld #
1202670000
$1,500.00 Plan Approval
$0.00 Permit Fees
$50.00 D Permit Voided I
Date 06/07/2006
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Os kosh has no authority to enforce easement restrictions of which it is not a party, if you perfonm the work
described in this p it application within an easement, the City strongly urges the permit applicant to contact the
easement holder nd to seclJl"e an ssary approvals efore starting such activity.
Signature
6 -7 -06
Date
Agent/Owner
aMRa
Address 3135 DELHI RD
WI 54963 - 0000 Telephone Number 920-685-2196
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.