HomeMy WebLinkAbout0153836 - Plumbing (laterals) CITY OF OSHKOSH No 153836
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1022 MERRITT AVE Owner WILLIAM&MARY LLC Create Date 11/27/2012
Contractor KELDERMAN PLUMBING Category 410-Residential-Interior 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 _- Flr/Wst Sink Bidet Site Drain Misc. 1
Toilet Water Softner Hand Sink Urinal Wait.St. Fixtures
Kit Sink Standp Rec 1 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 0 Bar Sink Sery Sink Wash Ftn Ext Grease Trap
Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn
Water Heater studor vent
Use/Nature 1SFR/final hook up of new sanitary sewer and water laterals to existing drain and water systems in basement
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1103360000
Valuation $700.00 Plan Approval __ $0.00 Permit Fees $25.00 ❑ Permit Voided]
Issued By .2-X-. 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 ap•'-- io hin an a- -my'"e City strongly urges the permit applicant to contact the
easement holder(s) -••'• - ure an • .-s pprovals before starting such activity.
Signature �? Date - ( -L-
Agent/Owner
Address N9679 STATE PARK RD STE 112 APPLETON WI 54915 -9504 Telephone Number (920)450-5398(cell)
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.