HomeMy WebLinkAbout0105030-Plumbing (lateral)OSHKOSH
ON THE WATER
.lob Address 500 502 504 N MAIN ST
Contractor FRANK CONTRACTORS INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TERRY LAIB
Category 430 - Industrial-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 0 Water Softner 0
Lavatory 0 Lndry Tray 0 LocalWaste 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0
Res. Sink 0 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 0 Beer Tap 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
No 105030
Create Date 10/29/2003
Plan
Dip Well 0 F Prep Sink 0 Gar Drain 0
Drink Ftn 0 Serv Sink 0 Soda Disp 0
Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Hand Sink 0 Urinal 0 EyeWash Statn 0
Plaster Sink 0 Standp Rec 0
Surgeons Sink 0 Ice Maker 0
Use/Nature INSTALL WATER SERVICE LATERAL (WORK STARTED WITH OUT PERMIT)
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 2" Plastic Lateral 1 New
0
0
0
0
Valuation $9,400.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
10/29/2003
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 3044 OREGON ST Oshkosh WI 54902 - 0000 Telephone Number
920-426-5661
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
Job Address 500 502 504 N MAIN ST
Contractor FRANK CONTRACTORS INC
CITY OF OSHKOSH
Create Date
Plan
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TERRY LAIB
Category 430 - Industrial-Exterior (laterals)
No 105030
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/VVst Sink --
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
Use/Nature NSTALL WATER SERVICE LATERAL (WORK STARTED WITH OUT PERMIT)
of Work
10/29/2003
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Int Grease Trap
0 Ext Grease Trap
0 RPZ Valve
0 Eye Wash Statn
0
0
Sanitary Sewer
Storm Sewer
Water Service 2"
Valuation $9,400.00 Plan Approval
Issued By
Size Material Type #
Corm. Type
0
0
0
0
0
0
0
0
0
0
Plastic Lateral 1
0
0
0
0
$0.00 Permit Fees
New
$20.00 [] Permit Voided
Date 10/29/2003
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 ho~/to secure~ n.~c~,sary approv~ore starting such activity.
Signature .,....¢..~:=~J~'~ ~ Date
/ AgekOwner
Address 3044 OREGON ST Oshkosh WI 54902 - 0000 Telephone Number
920-426-5661
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.