HomeMy WebLinkAbout0094362-Plumbing (laterals) CITY OF OSHKOSH No 94362
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1370 MORELAND ST Owner Del Tritt Construction LLC Create Date 05/14/2002
Contractor COATS, KEITH Category 401 - Residential- Exterior (laterals) Plan
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature NSFR/ Install sewer & water lateral.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 1" Copper Lateral 1 New
0
0
0
0
Valuation $1,600.00 Plan Approval $0.00 Permit Fees $50.00
Issued ByyjpoN Date 05/15/2002
ri Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 8424 SHIRLEY CT WINNECONNE WI 54986 - 0000 Telephone Number 414- 582 -3975
City of Oshkosh VA O)—
Inspection Services Division /: i �j I
P O Box 1130 S�� c/ t A ,
Oshkosh, WI 54903 -1130
I "
Phone: (920) 236 -5050
i tfij g P ill OfHKO/H
Fax: (920) 236 -5084
I ON THE WATER
Plumbing Permit Appl cation 3 7q qq l q
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permits) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account n
Job Address 13 7° 2- Ore,-49-7/41 Value (Including labor and materials) /6 00 Date r= / 3' - 0.2-
Owner P c. ) 77-, 1 Contractor /X 009 #73
[JSfngle Family ['Duplex ['Multi-Family ERental ❑Commercial ❑Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector /Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
❑ Gas D Elect ❑ PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Tap Sery Sink Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink
Surgeons Sink
8 Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor OR ❑Electric Installation Verification form attached
(If Replacement)
Use / Nature of Work -7/ C71, // S e-cre, t- off- Cv n7t4 ...v7 r' ;c
Size Material 444. # Conn. Type
Sanitary Sewer 1/ PC/ i AJ L W
4A -r
Storm Sewer
4,4.-r R 4,4.-r Water Service / C. tt 44s. �,► 0 6" GO
3/02