HomeMy WebLinkAbout0144081-Plumbing (laterals) II C ITY OF OSHKOSH No 144081
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 572 GRAND ST Owner HABITAT FOR HUMANITY OSHKOSH Create Date 11/15/2010
Contractor WALTER R SCHMID JR Category 401 - Residential - Exterior (laterals) Plan
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory San Sump /Pump Flr/Wst Sink Bidet Site Drain Misc.
Toilet Water Softner Hand Sink Urinal Wait. St. Fixtures
Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink Drink Ftn Int Grease Trap
Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater
Use /Nature Sanitary sewer and Storm sewer and Water service for new single family home.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer 4" Plastic Lateral 1 New
Water Service 1" Plastic Lateral 1 New
Parcel Id #
0404480000
Valuation $4,000.00 Plan Approval $0.00 Permit Fees $150.00 ❑ Permit Voided
Issued By Date 11/15/2010
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 str ngly urges the permit applicant to contact the
easement h • d r(-) and t; secure - ne ssa pprovals be taming such activity.
Signature L 0 / „ i z i %t Date f( /j
Agent/0 r
Address 7821 SWISS RD Oshkosh WI 54902 - 0000 Telephone Number 688 -2496
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.