HomeMy WebLinkAbout0155446-Plumbing (laterals) � CITY OF OSHKOSH No 155446
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1816 VINLAND ST Owner Create Date 05/06/2013
Contractor FREDERICKSON,GENE TRUCKING&EXCAVATI Category 444-Commercial-Exterior Laterals Plan D9-500-0413-P
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 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. p 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 OMM/Exterior water,sanitary sewer and storm laterals for new retirement community ""check#9135
of Work
i
Size Mate�ial Type # Conn.Type
Sanitary Sewer 6" Plastic Lateral 1 New
Storm Sewer 8" Plastic Lateral 2 New
Water Service 6" Iron Lateral 1 New
Parcelid#
Valuation $102,000.00 Plan Approval $0.00 Pertnit Fees $200.00 ❑ Permit Voided I
Issued By Date 05/06/2013
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 a i at� n within an easement,the City strongly urges the permit applicant to contact the
easement holder s a to e y necessary approva�s before starting such activity.
Signature Date S=(�,—��
AgenUOwner :
Address 445 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.