HomeMy WebLinkAbout2013-Plumbing (capping ext sanitary) � CITY OF OSHKOSH No 156838
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 112 VIOLA AVE Owner OSH AREA SCHL DIST OAKLAWN Create Date 07/22/2013
Contractor OSTRENGA EXCAVATING INC. Category 444-Commercial-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 __ _
Lavatory 0 San Sump/Pump 0 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. 0
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 CON1M/capping exterior sanitary lateral
of Work
ck#47393'"
,
�
Size Material Type # Conn.Type
Sanitary Sewer 6" Plastic Lateral 1 Aband
Storm Sewer
Water Service
Parcel Id#
1514850000
Valuation $500.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided'
Issued By c%LL— Date 07/23/2013
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 thority to enforce easement restrictions of which it is not a party,if you perform the work
described in this it appli ion 'hin an easement,the City strongly urges the permit applicant to contact the
easement hol (s nd to cu ny necessary approvals before starting such activity.
Signature Date � Z 3
AgenUOwner
Address 3361 LILY LAKE RD. GREEN BAY WI 54311 -0000 Telephone Number 920-863-8389
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.