HomeMy WebLinkAbout0125945-Plumbing (sewer)
l07 ~23l:007 15, 32 FAX
19202302008
ONEILL ENTERPRISES
I4J 001/002
City ofOsbkosh
Inspection Sm'ices Division
PO 8o~ 1130
Oshkosb, WI 54903-1130
Phone: (9~O),236-50S0
P~:(~~O)236-S084
P:lumblng PermltA,.UQation
I hereby apply ibr ~peimit Ul do @d install the folJowlng plumbi!lson the p~mises '~orcin~erdesQribed, the :w()*to,co~mi',tQth'e,
WlsQOns~ State Plumbing Code; in the perfont1ilIlce of.whfeh all parti~ heretO ~ to and are bound. by saichtatUtOs. : ,,'
. Application(s) ~d fee(s) can be brqught to City HalJ, Room 205 or mailed to Inspection Services,_POBoxJI2$" '
Oshkosh WI 54903.1128. Commencing work without pennit(s) will result in fees being doubled or'SlOO.09,pl\JSthe
· nonnal pennit fee, which c;:ver ,is greater. -
'~ " --,
f~::::':ir~ /;/;;~::~~:;;~r:~~~:;bn~~~~~:~~:;~)f:e 4ccoun~ System. and havead~quat-e .lutJd~:,'_1lh.c-~;h_rJt'e . '
Job Address 9/)iJ~ JI, Value (Including labor IUld matorials) I ~ J f)() , ~ate :1, Ji3"07
~er ,- -~ - - , Contractor a~ fh.~" JJ1,C~
, tLsingle FamUy DDuplex DMulti-Family DRentaJ DCom~orcial Dlndustr;aJ
Number or-Fixtures:
8l1thtub
Whlrlpcol
Lavatory
Toilet
DlspoSllI orbit Fln - Cateh 'Buill -----..
Dishwasher WlIit.St, WasI1-Ptn
Sump P\lmp leo Chest UrlhaI ,-
BJector/Grind BxBrn ~Ink GarDnln ~
Wate~ Softner . Sculry Slnk Soda Dlsp
Local Waste HlII1d Sink Co. MlIbr --
Clothes Wshr p"Prep Sink Comm. leo Mahr ~~
Bidet Scrv Sink SIt; Drain .
Beer Tap Inl Grease T!""p RoofOrain ........--
Cll\SSrm Sink Ext O,1'CllSO 1jrep $W1dp Reo -
Surgeons Sink R.p.z. VaIv!li Bye W~ Sin' ~
BmJam Sink - Shamp Sink i Wtr Soww 1fftn . -----:--
DipWell F1rlWst Sink; Dcduec Moler8 --.- -'
Hose Bibs Wtr U~ Mtrs ----
Rea. Sink
Bar Sink
Waler Hca/C/'
o cas 0 Elect 0 PwrVnt
Showur
Floor Drain
Lndr)' Tray
Lab Sink
Plaster Sink
St;rili%cr
Misc.
f'00uI'cs
OR OEleciric InstalI~tioD Veritlca-tionfortn a~'ched
(If~lacernent) , . /1 ./ .
U .I.U'4 ../&Jta-P/ If -.:P ; ~/I
. Electric ContTa~tor,
Use I Nature of Work ,/11 f711'k
. Size Material
Type
#
Conn. Type.
Sanitary Sewer'
Storm Sewer
WatcrSerVioe
11'10'5
o
O~'HKOSH
ON THE WATER
Job Address 904 GROVE ST
CITY OF OSHKOSH
No
125945
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd
Owner LINDA M MALEWSKI Create Date 07/25/2007
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
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Repair 4" sanitary sewer due to damage by utility contractor.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
i 1104980000
$120.00
$0.00
$25.00 0 Permit Voided I
Plan Approval
Permit Fees
Date 07/25/2007
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 restffctions 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
OSHKOSH
Address 522 W 6TH AVE
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.