HomeMy WebLinkAbout0105973-Plumbing (water meter)CITY OF OSHKOSH
105973
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address2431 HICKORY LNOwnerJAMES P ERDMAN JRCreate Date01/07/2004
ContractorO'NEILL ENTERPRISE INCCategoryPlan
410 - Residential-Interior
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 SFR/ Install water meter.
of Work
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service0
0
0
0
0
$0.00Permit Voided
Valuation$500.00Plan ApprovalPermit Fees$20.00
Issued ByDate01/07/2004
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
Address5575 CTY RD NPICKETTWI54964-0000Telephone Number428-4700 589-2007
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.
01/06/2004 19:17
92058'33616
ONEILL
PAGE 01
"'.
~
Q/l-K0lB
QN THI; WATER
:lty.,o..ke,lJ\; ,
:..,.edoD Sell" "1 !S Ul1'itJlon
'0"1130
),blcMh, WI S .1,'1)3-113.
l'hoftr. (920) 2: fi.5050
'ax: ('20) 2,.U. -1;1184
J hen:by 1\1 ; .y for a pennit to do and installlhe following p...ing on the premises hereinafter described, 1hc work to conform to the
Wi, :;losin State Plumbing Code, in tbc performance ofwbit:h all patties hereto agtee to and are bound by said statutes.
Plumbin.g Permit A-1!Plication
Job Addresll .. c;J.4a.1 l~dIL.o(l..~ W , Value(1ncludinglabontldl'lll\ttri.a-) ~5oo ~ Date \ - ""-0 y
OWIIer . . I.~..... ~~.A-rJ Contractor Q' ~ c; I L,\... tSrJI". \ N e...' .
EIs....le Fft~: Uy []Duplex DMu....:Famlly [)Rental. OcOll\mereill1 Dladostrial
. Size
Malerial
Type
#
Conn. ,Type
hnitary Sewer
itonn sewer
~ater SeMce
. ApJ)licaotio " a) Aft(( fee(a) can be broughtto City 1&11 R 0 .
S19P3-1l:! I: Commencing work without permit(s) ..;jU oom ~ .5 r mbe,ul~d tod,lnapeetion Servieel;, PO Box t 1 ~8. Oshkosh W[
-'Which eve! I; grelltef. resu III ees mg oUbled or $100.00 plus the nannal permit fee.
OR
Check here J.f you want tbi -' h
_ s eroceslJeu. t r~b \l:.our account ~