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2008-Plumbing (laterals)
OSHKOSH ON THE WATER Job Address 1270 MARICOPA DR CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Contractor EARTH WORKS LLC Owner WILLIAM UGAIL L BARWIS JR No 134105 Create Date 11/19/2008 Category 401 -Residential-Exterior (laterals) Plan Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker Whirlpool Floor Drain Local Waste Ice Chest Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap _ Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Water Heater Classrm Sink Sterilizer Surgeons Sink _ Ice Maker Deduct Meters Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp Misc. Fixtures Use/Nature Install storm sewer lateral for sump pump discharge . Combined sewer use with property at 1280 Maricopa. Owners will file a common of Work wnership agreement with Registrar for Deeds for Winnebago County as a condition of permit. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer 4" Plastic Lateral 1 New Water Service Parcel Id # 1313060000 Valuation $500.00 Plan Approval $0.00 Permit Fees Issued By Date 11/19/2008 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 it appli 'on wit ' an eas a he City strongly urges the permit applicant to contact the easement hold (s) nd to re ne a ovals before starting such activity. Signature Ate, A , /( ~-____ D t ~ -~ ~J ©~ Address N4295 OAK LANE Agent/Owner KAUKAUNA ae WI 54130 - 0000 Telephone Number 920-788-1528 a•.~~a~~~a n~apacuvns grease can zne mspection Kequest Ilne 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. $50.00 ^ Permit Voided