HomeMy WebLinkAbout0152710 - Plumbing (water lateral repair) CITY OF OSHKOSH No 152710
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 149 W WAUKAU AVE Owner JBWC PROPERTIES LLC Create Date 10/02/2012
Contractor 4 WAY CONSTRUCTION Category 431 -Industrial-Exterior(other) Plan
Inspector Jerry Fabisch
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 Scully 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 INDUST/water lateral repair
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service 8" Iron Lateral 1 Repaii
Parcel Id#
1413710000
Valuation $500.00 Plan Approval ______ __$0.00 Permit Fees $50.00 ❑ Permit Voided
Issued By a Date 10/02/2012
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 eas nt the Cit trongly urges the permit applicant to contact the
easement holder(s)and to secure any necetssa pp v Is .-fore starting such activity.
Signature Date Q 7
,'<ent/Owner
Address P.O. BOX 13 BERLIN WI 54923 -0133 Telephone Number 920-361-1403
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.