Loading...
HomeMy WebLinkAbout0103664-Plumbing (laterals)CITY OF OSHKOSH 103664 No OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address1340 JUDY LEE CTOwnerC C & R WOOD PRODUCTS INCCreate Date08/22/2003 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$75.00 Issued ByDate08/22/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Date Signature Agent/Owner Address5575 CTY RD NPICKETTWI54964-0000Telephone Number428-4700 589-2007 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. 08119/2003 17:01 9205893016 City of Osblcar . Itapectlon 3er ~ ees Divieiou P O Box )1130 Osbkosi,, WI : ~ 5903-1130 Phone: (920) :., ~ i.$~~ ~(9m,~~~ OrEILL PAGE 01 HI ON TH W/~TER P~umb~n ~'erm~t A licatfom I ~Y ~ I ly for a permit to do ate! it+atall the foib~-ing plumbims on the premises hereimafttx described, the woorlc to conforTa to the V~' r t ~ State PhamMmg Code, tm the perlodpance of which a!! polies hereto agree to and arc bound by said stattt:s_ Job Addrelw , l.~ yD ~v.~.. L_ rte- Valne (hleludM$ kaher and rrtateri.la) ~ la fln ~ • Date ~- ~ 9'-03 Owner - - ? Contractor f ~Siagie Fal r iiy DUaplac []Mani-F>imiiy QRenlai ~Co>aamerci>1t! Qitidnstriat Na>talbear of ~~ i :lures: °~"'"' Sterilizer 8rcekrtn Sink X001 t-n~Y Slan/p darn. Optr. SWImp SirJc ~aY Dispesrtt Dip Wdl F1Nwst Sink roils mshurashct Drink Rm Careh Bann res. Sink ~ Satrap Pub Wait. St. Wash Ftn ~sr Siiak ~star/Crrind lcc Cheat Urinal Ms~r Healer G Gta r` Elector. I 'over Vrnt Wafer SoRtler 'reran SiMc ~_ Gar Drain stealer t.oeal Wasx Seuky Sink Sods Diap . •loor Drain Ckrtt+ea Wshr Nand S1nk - ._.~ CePlae Makes ndry Tray Bidci F Prep Sink k:e Maker ab Slrtft - 9e~tt ~ Sere SiMc Site drain. Iwta• Sink (:Issettr Shrk ]rat Circt~e ltap Rood Drain Suraeaas SiMt 8xl Oraa~e trap 3terdp tree yleetric Co»r r >tetor ~ ~ © EIV form trtbethed (~f'Repiacetneant~ Ire / Natare ;r' ' Wo>rit c~ w- .. entheq Serer Sine t f M Maoeristl T yp e p Coon. Type . ~F~-~ Q ~ ~ ~ `.'e*+K ~ p ~'L(~ tottn3ewer ~M ~"vc.. Se~„Q 35 ales Servitx ~ ,_..~._. __ it,~f 1 r~ °1~l.~tK.~ a.~. Applicatinr (t !and fee(s) can be brought to City Ha21, itoom 2t?S or entailed to Xusirecdon Services, PO Box 1128, Oahkorh WI 5903-2 ix; , C~metwcing work without permit(s) will result in fees being doubled tx SIQ0.40 phrws the normal permit fee, which curer .;, greater. OR . Check ,here ~.tr ou wsrrat Chafe rocessed thzou h ux accotu>,t'