HomeMy WebLinkAbout0155077 - Plumbing (Abandon Laterals) CITY OF OSHKOSH No 155077
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1804 VINLAND ST Owner HAROLD/MARCELLA M EICHSTADT REV TRU:Create Date 02/01/2013
Contractor FREDERICKSON,GENE TRUCKING&EXCAVAT Category 402-Residential-Exterior(other) Plan
Inspector
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap _ 0
Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn _ 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR/Abandon Laterals*Contrator should contact water department to inform them that the laterals will not be re-used I
of Work so main can be sleeved.
J
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1219320500
Valuation $750.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
Issued By —7 Date 04/17/2013
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(r(s)and to secure any necessary approvals before starting such activity.
Signature mac � .7----" Date 47‘—/7— /3
Agent/Owner
Address 4450 FIELDCREST DR KAUKAUNA WI 54130 -4539 Telephone Number 920-766-1100
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.