HomeMy WebLinkAbout0103243-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 1290 FAIRFAX ST
Contractor O'NEILL ENTERPRISE INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 401 - Residential-Exterior (laterals)
No 103243
Create Date 08/01/2003
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
of Work
NSFR
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
4 Plastic Lateral
4 Plastic Lateral
1.25 Plastic Lateral
$1,200.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
$75.00
Date 08/01/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 5575 CTY RD N PICKETT WI 54964 - 0000 Telephone Number
428-4700 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.
08/01/2003 07:26
9205800016
ONEILL
PAGE 01
Plumbin Per ira licafion
att? .~ for a i~lmit to do ~nd Jubail ~ following plumbing on th~ pzemiscs b~eir~it~r described, tho work lo conform to the
Wts~:: ~, mia b'~ Plumbing Code, in Ibc lm'formance of which aH pan'i~ hereto a~r~c to a~id a~c bouod by said statutes,
ob AddreSs.._ ~ Value (~md~s
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Date '~-I
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lumber of Fib' :: ma'es:
gh~h S~ili~er ~ 8makrm
leetrie Conttll ~ ctor
se / Nature o ~ Work
~ EIV form attached Of Replacement)
Application( ) md fc~(s) can bc brought to City Hall, Room 205 or mailed to Inspection Services. ;PO l~oz t ElS, Oshlm,h WI
~4903-1 ]2~;. , :ommencing WOrk without plmnit(s) will result in fees being doubled or $100.00 plus thg normal permit fee,
which ewr ia ~ rearer.
'check here tf~ou want ~ht~ ~o~c'ea~ocl through ],our account ~