HomeMy WebLinkAbout0155563-Plumbing (laterals) �
� CITY OF OSHKOSH No 155563
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 935 MERRITTAVE Owner DANIEUPATRICIA MISEVICZ Create Date 05l10/2013
Contractor RELIABLE ROOTER&PLUMBING Category 401 -Residential-Exterior(laterals) Plan
Inspector Jerry Fabisch
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 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � 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 Serv 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/installing new sanitary sewer and water lateral per correction notice/work will be done on special assessment
of Work
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service 1" Plastic Lateral 1 New
Parcel Id#
1100670000
Valuation $3,800.00 Plan Approval $0.00 Permit Fees $100.00 ❑ Permit Voided I
Issued By .��^• Date 05/10/2013
In the performance of this work, I agree to perform all work pursuant to ruies 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
AgenUOwner
Address P.O. BOX 1141 APPLETON WI 54912 -1141 Telephone Number 920-428-3948
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pertnit 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
co�tinue if the inspection is not performed within two business days from the time the project is ready.
Wentz, Sandra
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us]
Sent: Thursday, May 09, 2013 12:03 PM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:S/9/2013 12:03:21 PM
Permit Fee Account System: YES
Job Address: 935 MERRITT
Owner: DAN MISEVICZ
Contractor: RELIABLE ROOTER
Use Category: Single Family
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool: water Service Coffee
Softener: Sink: Mkr:
Lavatory: Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs :
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice Chest:
Comm
Disposal: Bar Sink: �iVe� Ice
' Maker:
Breakrm Int
Dishwasher: Sink• Bidet: Grease
' Trap:
Floor Classrm Ext
Drain: Sink: Urinal: Grease
Trap:
Hose Bibb: Exam Sink: Beer Eye Wash
Tap: Stn:
Water F Prep Sink• Dipper Deduct
Heater: ' Well: Meter:
i
€
Drink �'�'tr `
Floor Sink: Fntn• Sewer
' Mtr:
Clothes Wash wtr
Wshr: Hand Sink: Fntn• Usage
' Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fixtures: :
�
*USE/NATURE OF WORK REPLACE SANITARY SEWER AND WATER SERVICE
*VALUE 3800
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
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