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OSHKOSH
ON THE WATER
Job Address 2003 MOUNT VERNON ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
127340
Owner TIM MC BRAIR
Create Date
10/18/2007
Contractor O'NEILL ENTERPRISES INC
Category 401 - Residential-Exterior (laterals)
Plan
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature install new 1-1/4" water lateral for NSFR.
of Work
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
i
Valuation
Issued By
Size
Material
Type
#
Conn. Type
$2,000.00
$0.00
Permit Fees
Parcel Id #
1515420000
Plan Approval
Sanitary Sewer
Storm Sewer
Water Service
1-1/4"
Plastic
Lateral
New
Date 10/18/2007
$50.00 D Permit Voided I
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
Address 522 W 6TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
Date
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.
10/17/2007 08:30 FAX 19202302008
ONEILL ENTERPRISES
141 0011001
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City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
VVisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI
54903.1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
I
~ner
ringle Family
Number of Fixtures:
*'It Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by th~ Electrical
Contractor or Homeowner (for installiltions allowed to be performed by the homeowner) mUst be submitted
with the permit application. Applications submitted without an ElV when such is required, will not be
processed for Permit Issuance and will be returned for completion. It
Value (""OO''''''''''''''i1:",'j b/, ~Of() _ Date 10/7.01-
Contractor !J lP;/L 'i7#-+?1/,UA ,/ / /Jc.
Multi-Family DRental DCommerclal OIndustrial
Bathtub Disposal Drink Ptn Catch Basin
Whirlpool Dishwasher Wait St Wash Ftn
Lavatory Sump Pump lee Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Drain
Res. Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm. I~ Maker
o Gas 0 Elect 0 PwrVnt Bidet Serv Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classnn Sink Ext Grease Trap Standp Roo
Lndry Tray Surgeons Sink R.PZ. Valve Eye Wash Sm
Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well 'FlrlWst Sink Deduct Meters '
Sterilizer Hose Bibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor (for projects not requiring an EIY Form)
Use I Nature of Work
Size
Material
Type
Conn. Type
Sanitary Sewer
Storm Sewer
/~I'
PtJL'j
VVater Service
0'1/0'1
WARD:
)eR- /101'4) /Ui.A:1
DATE: 115.- f707
DHL#:
#/273tfO
LOCATION: JDD3 ("'1"1 Vert1DIJ\
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WORK DONE: /' / --tap 0 1\ ~) t ( jl}la; f\
6 f!\ 117'f- Lllf VI tn')
TAP
CUT-IN
SIZE:
)(
GRAVEL:
REMARKS: p-tr In i r :\t:. d jD ~ '7
INV#:
53DD,'9-
53011
55017
58DDl
. t r
I
CONTRACTOR:
fCqbe.
QTY:
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MEASUREMENTS:
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PERMIT#:
BLACKDIRT: YES NO
CONCRETE: YES NO
DETAILS: -
WORKERS:-r7( ,is:!
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