HomeMy WebLinkAbout0103491-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 1260 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 103491
Create Date 08/13/2003
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
Size Material Type # Conn. Type
Sanitary Sewer 0
0
4 Plastic Lateral 1 New
0
0
Storm Sewer 0
0
4 Plastic Lateral 1 New
0
0
Water Service 0
0
1.25 Plastic Lateral 1 New
0
0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $75.00 ~J Permit Voided
Issued By
Date 08/13/2003
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 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.
08~13/2003 00:20
.~jty or Oshko~;~.
nspectinn Scr~ ~( es Division
? O~oz !130
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ONEILL
PAGE 82
lob Address. ~.
Owner ': ~.~-
~bgle Fa~ '~ ~!~ ~uple~
Plumbin Permit A olication
! hereby al .~ Y fo~ a permi! to do ond install the foUowi~lZ plumbing o~ the premiSe,q heretnaRcr desc~b~l, the work m conform to the
W~: ,nsin State Plumbing Code, in the ~erfotn~nce of which nil parties hereto agree to a~d are hotrod by said s~mtes.
Valoe (Incl~dtl~8 labm and mnt~l~) (~P~ Date
Contractor ~ l~.~2~-
[--]Multi-Family F']Rentnl ['=]Commercial [~lndustrial
Electric Co, ~; actor ....
UselNntnr¢ ~fWork _~t~,,,- ~,z. , "~.4~-,,.
OR ~ EIV form attached (If Replacement)
Corm, Typc
Appllcatk .'~ s) nnd £ee(s) can be brought to Civff Hall, Room ~05 or trmiled to I~gpection Service;, PO Box 1128, Oshkosh WI
5490~-1E ,~ Commcncing work without pernut(s) will 'result in fe~s being doubled °r $100-00 Pius lhe n°rmal pci-i~it fee,
which eve ~ ~atm.
oR
check here if you ~an~ this Rroce;sed through ~_o.u__r account .~