HomeMy WebLinkAbout0124709-Plumbing (laterals)
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''''''OSHKOSH
ON THE WATER
Job Address 2117 MOUNT VERNON ST
CITY OF OSHKOSH
No
124709
. PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner TIM M MCBRAIR Create Date 05/09/2007
Category 401 - Residential-Exterior (laterals) Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor O'NEILL ENTERPRISES INC
NSFRI Sanitary, storm and water laterals. Tracer wire to be installed.
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Main 1 New
Storm Sewer 4" Plastic Lateral 1 New
Water Service 1-1/4" Plastic Lateral 1 New
Parcelld #
1515980000
Va~uation
$5,000.00 Plan Approval
$0.00 Permit Fees
$150.00 0 Permit Voided I
Issued By
Date 05/09/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 522 W 6TH AVE
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
:::05~09/2007 08, 43 FAX
::: ". '. .'
. City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone; (920).236-5050
FIiX: (920) 236-5084
19202302008
O~~ILL ENTERPRISES
I4I 0011001
Plumbing Permit AppUoation
I hereby apply for a permit to do and install the following plumbing on the premises '~ereinafter ~ribed, the wade to con~rm.~ the
. Wlsoonsir! State Plumbing Code, in the performance ofwhioh all parties heretO agrecto and are bound by said.statUtCs. ..'
. Application(s)and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection SerVices; PO Box1l28, '.
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or-$lOO,'()O.'.phisthe
. nonna! peqnitfee. which ever is greater. . . .'
OR
~i:= ~~~: (~~:;::;~;:;':f:~~':u~~n:.it, '::~~~ry!J' A.90UD' ~y.'.;;n(/ gave a4maur."ds:-'lh.~t,~,r.
Job Addre..1f;a~1!l ~UWl Value Q>d,dm, "b''''j~n"f~,90O()&J . - J)JJj fj1.
OWner _~ _f!~ _ CoutnlctQr' U~JRL____ tf)jtMfw~ .
"t.l1Jf.Ie Family DDuplex []Multl-Famlly []Rental DCo_erclal []IndU$tQal .
Number otFixtures:
Bathtub
Whirlpool _
LavlllOJ)'
Toilet
Res.Siillc
. Bar SInIc
Water Heator
o. au 0 Elect 0 PwrVnt
Shower, ._
FloOt Drain _ .
---:-
I..ndly Tray
.Lab Sink
Plaster Sink
Sterilizer
. Misc.
Pilcturu
Electric .Contractor.
-'
Use I Nature of Work
SllIlitary Sower'
Stonn Sewer
Water SerVice
OlspoSlll
DlshWllSher
Spmp Pump
Ejector/Grind
Water Softnor
LoQ.al Waste
. Clothes Wshr
Bidet
Beer Tap
Clas.srm Sink
SurgCOnll Sink
Breakrm Sink
DlpW~IJ
Hose Bibs
Drnik Ptn
Wait. SI.
Jeo Chest
Exam Sink
. SeuJJ}' Sink
Hand Sink
F Prep Sink
Serv Sink
lnt Grease Trap
Ext Grease Trap
R.P.Z. Valvo
Shamp Sink
PlrlWst Sink
CalGhBasln .
WuhPtn
Urinal
Otlr Oraln
Soda DIsp
Coffeo Mabr
Comm. tee Maker
Site Drain .
RoofDndn
SlMdp Rcc
Bye WlISh Stn' .
Wtr Soww Mira
Deduet MctIn
Wtr J:Jsap MIra
-
...........--
-
-
.-----
~,.
------
QB.
DElectric In.StaJhltion Verit1catioD. corin .tta<:hed
(If Replacement) . .
. Size
,+,1
,-/"
IJ~ tI
- .
Material. Type
pVc.. BeH 1D
pVc SCt1~
Conn. Type
#
ulOS
( ",J :'l~
II\\'
. ~
WARD:-f ~
~ l~~/t)'f
LOCATION: a.Ul
-
t'V\ ( \J C'__r ct 0 A
INV#: QTY:
$<<"011 (
$'3 Cl()2 (
5~80o\ 3'4 f
S So Cl I
G.RA VEL:
REMARKS:
0",'\ e \
t..U (}....s
)\j jb{t- Sq:J.l{ 7
PARTS:
.':: ~H~ L~' s \u~
l .. Co V' t s '\-o~ \ j
i it 1"\ V
I ~~"~ \.
)3b1'--+ . o&~. /
LabDr 4-'lopp.lnj rnar-ni{l"1'_ 100.00
V-clIi d-<.- U~ '(___ is. DO
P-erm",+ .# JJ03D
\A~~'1l.. t\~t"\.\o~('''" ~G--\-~r-- '~)...:+e-rC";;;. (
\0 O.J'-e oL .0.. V\ d e.r. t cl Co.. c1- '-
CONTRACTOR:
.~~e-..
MEASUREMENTS:
. pit.
!)L';. ..
It{ ',,)0{ Al
61 E10
PERMIT#:
BLACKDIRT: YES NO
CONCRETE: YES NO
DETAILS: -
WORKEJlS: \3uG- ~Jl