HomeMy WebLinkAbout0153848 - Plumbing (lateral) ( CITY OF OSHKOSH No 153848
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 959 W 6TH AVE Owner RICHARD W HURKMAN Create Date 12/05/2012
Contractor RAND R PLUMBING, LLC Category 442-Commercial-Interior(New/Relocated Fixti 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 1 F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs _
Lavatory _ San Sump/Pump 1 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 COMM/install new storm lateral to roof drain and sump pump discharge/add sanitary ejector pit to correct violation of
of Work cross connection and fix capped sanitary sewer lateral by City
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer 6" Plastic Lateral 1 New
Water Service
Parcel Id#
0605290000
Valuation $1,900.00 Plan Approval $0.00 Permit Fees $64.00 E Permit Voided
Issued By Date 12/05/2012
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 easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1639 THORNTON DR OSHKOSH WI 54904 -8294 Telephone Number 920-279-3949
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.