HomeMy WebLinkAbout0121351-Plumbing (laterals)
e ' CITY OF OSHKOSH No 121351
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER'
Job Address 1010 JOHN MOORE DR Owner RUSCH HOMES LLC Create Date 08/31/2006
Contractor J & P EXCAVATING
Category 401 - Residential-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.
Fixtures
Use/Nature NSFRI LATERALS **DEBIT ACCT
of Work
Size
Material
Plastic
Type
Main
#
Conn. Type
New
Sanitary Sewer
4"
Storm Sewer
4"
Plastic
Lateral
New
Water Service
1-114"
Plastic
Lateral
New
Valuation
$800.00 Plan Approval
$0.00 Permit Fees
$150.00 D Permit Voided I
Issued By
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
EyeWash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
I
I
Parcelld #
1342951400
Date 08/31/2006
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(s) and to secure any necessary approvals before starting such activity.
Signature
Address 3162 SCENIC DR
Agent/Owner
OSHKOSH
WI 54904 - 0000 Telephone Number 379-0309 (C)
Date
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.