HomeMy WebLinkAbout0134229-Plumbing (laterals) CITY OF OSHKOSH No 134229
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 220 WASHINGTON AVE Owner WINNEBAGO COUNTY Create Date 12/02/2008
Contractor KEITH PETERSEN PLUMBING Category 430 -Industrial-Exterior (laterals) Plan
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool
Floor Drain
Local Waste
Ice Chest _ ____
Flr/VNst Sink _ ___
Int Grease Trap _
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
se/Nature Install new 6' storm lateral with approved pipe bursting method. System is required to be installed per Dept. Approval including bead removal..
of Work .
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer 6" Plastic Lateral 1 Repair
Water Service
Parcel Id #
0400120000
Valuation
Issued By
$3,900.00 Plan Approval $0.00 Permit Fees _ $50.00 ^ Permit Voided
Date 12/02/2008
In the performance of this work, I agree to pertorm 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 easement, the City strongly urges the permit applicant to contact the
easement hyldPr(cl and secure eessavals before starting such activity.
Signature ~_ ~, D
Address 1600 HAMILTON CT
T_ _
Agent/Owner
LITTLE CHUTE WI 54140 - 2534 Telephone Number
• ~ ~..••G....~~ nwpca.uvns pease cau me inspection Kequest 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 pertormed within two business days from the time the project is ready.
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Kelly Petersen
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920-687-6370
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