HomeMy WebLinkAbout0153843 - Plumbing (lateral) CITY OF OSHKOSH No 153843
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 100 COURT ST Owner OSHKOSH HOUSING AUTHORITY Create Date 12/05/2012
Contractor W&D NAVIS,INC Category 445-Commercial-Exterior Other Plan K5-489-1212-P
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 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 12 Eye Wash Statn
Water Heater
Use/Nature COMM/EXTERIOR STORM SEWER PIPING AND LATERAL PER PLAN REVIEW SUBMITTAL
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer 18" Concrete Lateral 1 New
Water Service
Parcel Id#
0800340000
Valuation $48,0 00.00 Plan Approval $0.00 Permit Fees $134.00 ❑ Permit Voided
Issued By <_�-c- 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 auth• • * • -nfor - -a -ment restrictions of which it is not a party, if you perform the work
described in this permit applicatio• ithin an -..ement e .t -.-ongly urges the permit applicant to contact the
easement holder(s)and to se •re any ne -rya•> • -0.•- ore starting such activity.
Signature / Date f ,.-S--/2__
Agent/Owner
Address PO BOX 48 WAUPAN WI 53963 -0000 Telephone Number 1-920-324-8995
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.