HomeMy WebLinkAbout0103588-Plumbing (laterals)CITY OF OSHKOSH
103588
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address2391 SHORE PRESERVE DROwnerJACK NELSONCreate Date08/19/2003
ContractorO'NEILL ENTERPRISE INCCategoryPlan
401 - Residential-Exterior (laterals)
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
of Work
NSFR
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
4PlasticLateral1New
0
0
Storm Sewer0
0
4PlasticLateral1New
0
0
Water Service0
0
1.25PlasticLateral1New
0
0
$0.00Permit Voided
Valuation$1,200.00Plan ApprovalPermit Fees$75.00
Issued ByDate08/19/2003
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.
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.
08/18/2003 06:16 9205893016 OPEILL PAGE 01
il
city of Oshker. t l
Inspection Set. t ees Division
P O Box 1130
Oshkosh, WI F• 903 -1130
Phone: (920) 2: 5-5050 Q KO H
Fax (920) 236 • :004
ON THE WATE
Plumbit Per mit Applica.t n
1 hereby Ai dy for a permit to do and install the following plumbing on the promises hereinafter described, the work to conform to the
W i::onein State Plumbing Code, its the performance of which all parties hereto agree to and are bound by said statutes.
Job Address i 1 ? 'SL.or4. Qcywv, , Value (Including tabor and materials) 1� 2 DO `� • • Date A- 1 -O3
Owner ;a_et r;iit.vr, Contractor _Dip_ N n 1 u.___M.z _
f aSing1e F0° illy []Duplex ❑Multi Fsmi y QReatal DConsmercial DIndustrial
Number of it xtures:
gat tub Steriliser Breaknn Sink
Whirlpool Lndry Standp — -.,. — Den. Opa. Shows Sink
Lavatory Disposal Dip Well Fl/Wit MO
Toilet i)iaMrsaher Drink fin Catch Basin
Res. Sink Sump Pump Wait. Se. Wash Fin
Bar Sink Ejector/Grind la Chest �____ urinal
Water borer Water Sooner !Nam Sink Gar Drain
I.; .s r1 Electric Power Vent !seal Waste Seviry Sink Sops Di
o �—
Shower Sh or Drain Clod= Wshr Hand Sink Coffee Maker
Bidet F Prep Sink kc Maker
trdry Tray Beer Tap Sery Sink Site Drain
Lab Sink Chasm Sink , ,__,,� Int Grease Tap Roof Drain
Planer Sink Surgeortg Sink
Eat Chest Trap _„_ Sip Rec
Electric Con 1 ractor OR ❑ EIV form attached (If Replacement)
Use / Naturm $f Wo rk,
Sete Material Type # Conn. Type
Sanitary Sewer 4 w . .. ‘644'. S KJ
Storm Sewer
%A* ..?.0 `' 'I<
Water Service t`\ `{ •k• - +41.1..._.j
• Applicati.: , 's) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903-11'4* E . Commencing work without permits) will result in fees being doubled or S 100.00 plus the normal permit fee,
which eve s greater.
OR
Check here .if you wstnc th processed t hrough your Account la