HomeMy WebLinkAbout0103318-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 1270 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 103318
Create Date 08/05/2003
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 INSTALL STORM AND SANITARY SEWER LATERALS AND WATER SERVICE LATERAL
Valuation
Issued By
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 4" Plastic Lateral 1 New
0
0
0
0
Water Service 1-1/4" Plastic Lateral 1 New
0
0
0
0
$1,200.00 Plan Approval $0.00 Permit Fees $75.00
Date 08/05/2003
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.
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
AUG 0 2003
DEPARTMENT OF O/HKO/H
ON THE WATER
COgMUNITY DEVELOPMENT
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lf pou are a contractor participating in the Permit~ee Account System and have adequate funds, check here
if you want this processed through pour account
Job Address
Owner ~r~
[~Single Family ~]Duplex
Value (Including labor and materials~
Contractor 0
[-]Multi-Family ~]Rental ~--]Commercial
Date
[-]Industrial
Number of Fixtures:
Bathtub Lndry Standp
Whirlpool Disposal
Lavatory Dishwasher
Toilet Sump Pump
Res. Sink Ejector/Grind
Bar Sink Water Softner
Water Heater Local Waste
D Gas [] Elect [] PwrVnt Clothes Wshr
Shower Bidet
Floor Drain Beer Tap
Lndry Tray Classrm Sink
Lab Sink Surgeons Sink
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Dent. Oper. Shamp Sink
Dip Well FlrAVst Sink
Ih'ink Fm Catch Basin
Wait. St. Wash Fm
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda D/sp
Hand Sink Coffee Maker
F Prep Sink Ice Maker
Serf Sink Site Drain
Int Grease Trap Root' Drain
Ext Grease Trap Standp Rec
R;P.Z. Valve Eye Wash Sm
OR
[--]Electric Installation Verification form attached
(If Replacement)
Size Material Type #
Corm. Type
7/03