HomeMy WebLinkAbout0105640- Plumbing (NSFR)OSHKOSH
ON THE WATER
.lob Address 938 N LARK ST
Contractor
Bathtub 0
Whirlpool 0
Lavatory 0
Toilet 0
Res. Sink 0
Bar Sink 0
Water Heater 0
Site Drain 0
Roof Drain 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
POLLESCH-KINAS EXCAVATING INC
Owner HERMAN B LEITZ
Category 401 - Residential-Exterior (laterals)
No 105640
Create Date 12/08/2003
Plan
Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIrNVst Sink 0 Int Grease Trap 0
Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
NSFR
Size Material Type # Conn. Type
Sanitary Sewer 0
0
4 Plastic Lateral 1 New
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
1 Copper Lateral 1 New
0
0
Valuation $800.00 Plan Approval $0.00 Permit Fees $50.00 ~ Permit Voided
Issued By
Date
12/08/2003
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 N6205 LAWSON DR GREEN LAKE WI 54941 - 0000 Telephone Number
920-294-3879
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.