HomeMy WebLinkAboutPlumbing (laterals) /�", CITY OF OSHKOSH No 105387
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD __
ON THE WATER �
Job Address 1223 LIBERTY ST Owner JEFFREY L HANFORD ESTATE Create Date 11/18/2003
Contractor NOVAK EXCAVATING INC Category 401 -Residential-Exterior(late2ls) Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpoo� 0 Floor Drain 0 Water Sokner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/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 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Water Heater 0 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinal 0 Eye Wash 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 INSTALL SEWER AND WATER LATERALS FOR NEW SFR MANUFACTURED HOME !
of Work
Size Material Type # Conn.Type
Sanitary Sewer 4" Plastic Lateral 1 Relay
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 1" Copper Lateral 1 Reiay
0
0
0
0
Valuation $600.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided �
Issued By Date 11/18/2003
In the performance of this work, I agree to perform aIl work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easeme r trictions of which it is not a party, if you pertorm the work
described in this permit application within an easeme�the City ongly urges the permit applicant to contact the
easement holder(s) , d to�cu7�any nece sar�appfoval b re starting such activity. ���t{{
/ . / /—�� / ��
Signature � � /�� � � Date
{�'/ AgentlOwner
Address PO BOJC389�/(, RIPON WI 54971 -0000 Telephone Number 920-748-2512 OR 57
To schedule inspections please call the Inspection Request line at 236-5728 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.