HomeMy WebLinkAbout0103242-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 1285 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 103242
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.
08/81/2003 07:2B
nsp4m~ Se~ ~ ,s Dlvl~on
'OBoz 1130
~,hkm,h, W~ $'~' O-1130
h,me: (92G) 23~ ~ 5050
9205893015
DNEILL
PAGE 82
Plumbing Permit Aoolication
I hcroby apl;~: · for a O~G~l ~0 do mm1 inm~ll I{1¢ fol{owinB phwnb{ng on th~ l~ses h~einmi~r cTcmcribed~ the work ~o coufom~ m time
Wt~:,: ~in State Plombing Code, i~ ~e peffo~0aaee of which all parties hereto agree to ~d are bound by aaid statl~es.
Contractor _~ ~ to ~ ~ ~
[~Multi-Family [-]Rentd ['-]commerci,!
umber of FI: utes:
v~ory ' Die~al
s. Sink Su~ P~
rSi~
celtic Cont;~ a :tot
· I Nature (i, ~ Work
!8~e~knn Siok
Ot~t. 0~.
Odnk ~n
Sh~n~ Sink
~lr/Wst Sink
Stmi~ ~
[] EIV form attached (~fReplncemeoi)
Application(t ) md fee(a) can be brought to City Hall, Room 205 or mailed to Irsapee6o~ gervlees, PO l~ox 1128, Oahlmsh WI
54~03-1125. i: ~illl~ wol'Ic witholit p~'xllit(s) will result in fee~ being doubled or $100.00 plea the normal permit fee,
whichever i.,' g 'eater.
'Che~k here ~f Fou want thta prooessed ~hrouffh YOur accouot ~