HomeMy WebLinkAbout0158796-Plumbing (storm sewer lateral) � CITY OF OSHKOSH No 158796
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3321 COUNTY RD A Owner NONWEILER INVESTMENTS LLC Create Date 11/18/2013
Contractor SCOTf DENOBLE&SONS SEWER&WATER IN� 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
Showe� 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. 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/storm sewer lateral �
of Work
"ck#11911
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1519607400
Valuation $8,000.00 Plan Approval _ $0.00 Permit Fees $20.00 ❑ Permit Voided'
Issued By ��/v` Date 11/18/2013
In the performance of this work, I agree to perform II work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to en rce easement restrictions of which it is not a party, if you perform the work
described in this pe it appli tion within an ea ment,the City strongly urges the permit applicant to contact the :
easeme older( and ure any ces provals before starting such activity.
Signatu e w % � ���. Date ���,�p2�,[j
AgenUOwner :
Address 1910 VERLIN RD GREEN BAY WI 54311 -0000 Telephone Number 920-469-2420,920-4
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.