HomeMy WebLinkAbout0155729-Plumbing (laterals) � CITY OF OSHKOSH �
No 155729
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1746 MICHIGAN ST Owner STEVEN UPAULA J TRUDELL Create Date 05/21/2013
Contractor D R GLAZE PLUMBING Category 412-Res-Interior(New/Relocated Fixtures) 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
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. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
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 a storm sewer lateral to house and installing two sump pumps
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer 4" Plastic Lateral 1 New
Water Service
Parcelld#
1404720000
Valuation $750.00 Plan Approval $0.00 Permit Fees $68.00 ❑ Permit Voided I
Issued By �- Date 05/21/2013
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(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 1865 JAMES RD OSHKOSH WI 54904 -6873 Telephone Number 920-589-4014
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.
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Plumbing Permit Application
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*"Adcismy-For applicable proieecs,an Etectrical Instat(ation veriFication(EIV}form,signed bp the Electrica(
Contractor or Homeowner(for installations allowed to be performed bs the homeou�ner)must be submitted /�
with ti�e permit appl�cat�on AQQGcatio�submitted withwt an EN when such is reqiured,will not be I�) � � (��
processed for Pe�mit Issuance and w�ill be retisned for completion. y
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