HomeMy WebLinkAbout2007-Plumbing (lateral)
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OSHKOSH
ON THE WATER
Job Address 3245 S WASHBURN ST
Contractor IMMEL, ROBT J EXCAVATING INC
CITY OF OSHKOSH
PLUMBING PERMIT.. APPLICATION AND RECORD
Owner BERGSTROM OF THE FOX VALLEY INC
Category 430 - Industrial-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst 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. FIRE HYDRANT
Fixtures
No 123293
Create Date 01/24/2007
Plan X1-233-0107-P
Coffee Maker
Int Grease Trap
5 Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
EXTERIOR SEWER AND WATER UTILITIES. CHECK # 20822
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
4" Plastic Lateral 1 Relay
Storm Sewer 12" Plastic Lateral 1 New
Water Service 4" Plastic Lateral 1 New
6" Plastic Lateral 1 New
Parcelld #
Use/Nature
of Work
Valuation
$160,000.00 Plan Approval
$0.00 Permit Fees
$292.00 D Permit Voided I
Issued By
Date 01/24/2007
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(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 135
GREENVI LLE
WI 54942 - 0000 Telephone Number 920-757-5906
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.