HomeMy WebLinkAbout0104796-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 1700 1702 BURDICK ST
Contractor MOREMAN PLUMBING
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GEORGE ROHE, BRIAN KOFNETKA
Category 401 - Residential-Exterior (laterals)
No 104796
Create Date 10/15/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature Install sewer and water laterals for new duplex
of Work
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 1.25" Copper Lateral 1 New
0
0
0
0
Valuation $1,650.00 Plan Approval $0.00 Permit Fees $50.00 ~ Permit Voided
Issued By
Date
10/16/2003
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
Agent/Owner
Address PO BOX 1325 OSHKOSH WI 54903 - 0000 Telephone Number
231-9191
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.
FAX
.FROM;
WALLY SCHMID EXCAVATING, INC.
PHOI~ 1-920-~2496 PAGER
DF, I/VERY FAX TO;
DATE:
MOBIL 1-9~0-216-0240
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C~IP- 04
RECEIVED FAX FROM:
1-920-686~432
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