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HomeMy WebLinkAbout0105104 PCITY OF OSHKOSH 105104 No OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address510 CAMPUS PLOwnerCITY OF OSHKOSH REDEVELOPMENT AUTHCreate Date11/03/2003 ContractorVAN HANDEL, TOM CORPCategoryPlan 401 - Residential-Exterior (laterals) Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0 Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00 Soda Disp Lavatory00Local Waste0Wait. St.0Shamp Sink00 Lndry TrayCoffee Maker Toilet00Clothes Wshr0Ice Chest0Flr/Wst Sink0 0 Lndry Stndp Int Grease Trap Res. Sink00Bidet0Exam Sink0Catch Basin0 Disposal0 Ext Grease Trap Bar Sink000Wash Ftn0 Beer Tap0Sculry Sink Dishwasher RPZ Valve0 Water Heater000Urinal0 Sump PumpDent. Oper.0Hand Sink 0 Eye Wash Statn Site Drain000Standp Rec0 Classrm SinkLab Sink0Plaster Sink Roof Drain000Ice Maker0 Breakrm SinkSterilizer0Surgeons Sink Use/Nature Abandon water and sewer laterals. of Work SizeMaterialType#Conn. Type Sanitary Sewer4Vitrified ClayLateral1Abandn 0 0 0 0 Storm Sewer0 0 0 0 0 Water Service3/4SteelLateral1Abandn 0 0 0 0 $0.00Permit Voided Valuation$300.00Plan ApprovalPermit Fees$0.00 Issued ByDate11/03/2003 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. Date Signature Agent/Owner Address5325 N BALLARD RDAPPLETONWI54913-0000Telephone Number730-9000 MPRS 3175 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. OSHKOSH ON THE WATER .lob Address 510 CAMPUS PL Contractor VAN HANDEL EXCAVATING INC CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner CITY OF OSHKOSH REDEVELOPMENT AUTH Category 401 - Residential-Exterior (laterals) No 105104 Create Date 11/03/2003 Plan Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature Abandon water and sewer laterals. of Work Size Material Type # Conn. Type Sanitary Sewer 4 Vitrified Clay Lateral 1 Aband 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 3/4 Steel Lateral 1 Aband 0 0 0 0 Valuation $300.00 Plan Approval $0.00 Permit Fees $0.00 ~J Permit Voided Issued By Date 11/03/2003 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 5325 N BALLARD RD APPLETON WI 54913 - 0000 Telephone Number 730-9000 MPRS 31~ 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.