HomeMy WebLinkAbout2013- Plumbing (laterals) ,
� C1T1( OF OSHKOSH No 158274
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 639 WITZEL AVE Owner CITY OF OSHKOSH Create Date 10/16/2013
Contractor JOE DENOBLE SEWER&WATER CONST INC Category 430-Industrial-Exterior(Laterals) Plan State Review
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 Flr/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 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 IND/Private side storm sewer,water and sanitary.
of Work
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Size Material Type # Conn.Type
Sanitary Sewer 6" Plastic Lateral 1 New
Storm Sewer 48" Plastic Lateral 1 New
12" Plastic Lateral 1 New
36" Plastic Lateral 1 New
Water Service 6" Iron Lateral 1 New
2" Copper Lateral 1 New
Parcel Id#
0603510100
Valuation $750, 0.00 proval $0.00 Permit Fees $0.00 ❑ Permit Voided''
Issued By Date 10/16/2013
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 hol r(s) cure any necessary approvals before starting such activity.
Signature Date �
AgenUOwner
Address 774 ADAM DR DE PERE WI 54115 -9313 Telephone Number 920-403-1111
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.