HomeMy WebLinkAbout0123157-Plumbing (repair sewer lateral)
G
OSHKOSH
ON THE WATER
Job Address 414 BOYD ST
CITY OF OSHKOSH No 123157
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CHARLOTTE M DORMAN Create Date 01/11/2007
Plan
Contractor WISCONSIN EXCAVATING
Category 401 - Residential-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature Repair sanitary sewer lateral.
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
.
Size
Material
Vitrified Clay
Conn. Type
Repair
Type
Lateral
#
Sanitary Sewer
6"
Storm Sewer
Water Service
Valuation
$2,000.00
$0.00
$50.00 D Permit Voided I
Permit Fees
Plan Approval
Issued By
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit +$lication within an easement, the City rongly ur'lhe permit applicant to contact the
easement holder n,tb secure <y,1y necessa prov ore starti ch activity.
Signature
Address W 8757 STATE RD 96
HORTONVILLE
WI 54944 - 0000 Telephone Number 920-378-2021
Parcelld #
1100300000
Date 01/11/2007
Date
/'-//-0
t
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.