HomeMy WebLinkAbout0100907 POSHKOSH
ON THE WATER
.lob Address 1285 PHEASANT CREEK DR
Contractor O'NEILL ENTERPRISE INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100907
Create Date 04/22/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature NSFR/Sewer, water, storm
of Work
Valuation
Issued By
Size Material Type
Sanitary Sewer 4" Plastic Lateral
Storm Sewer 4" Plastic Lateral
Water Service 1 1/4" Plastic Lateral
$1,200.00 Plan Approval $0.00 Permit Fees
Conn. Type
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
0
0
$75.00
Date 04/22/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 5575 CTY RD N PICKETT WI 54964 - 0000 Telephone Number
428-4700 589-2007
0~/22t2003 06:45
City of Oshkosh
Inspection Serviee$ DiviMon
P 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-:5050
Fax: (920) 236-S084
9205893016 ONEILL PAGE Bi
Q./HKOfH
ON THE VCATER'
Plumbin Permit Application
hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all panics hereto agree to and are bound by said statutes.
Job Address ._1 .L~'g_~' bL.,.~s~,,.% .c~-,,4c Value 0,et-dm ~ab0r a~d m.~at,) -~ ~ ~ ~,~ ~o Date___~- aa- 03
Number of Fixtu res:
Bathtub Sterilizer Brcakrm Sink
Whirlpool ~ Lndry Standp .... Dent. Oper. Shamp 5ink
[avato~ Disp~al ._ Dip Well ~ FIr~nt Sink
Toilet .~ Dishw~h~ ~ [~ink Pm Cash Basin
Rcs. Sink Sump PU~ ~ Wait, St, Wash Fm
~r Sink Ejeclor/GHnd Icc Cl~esl Urinal
Water Hcmtcr Water ~r ~ Exam Sink Oar Drain
Sho~r C{~hes Wshr .-- Hand Sink Coff~ Maker
Flor
P~ater Sink
~ Stigmas S~k ~xt G~nsc Trap Stan~p R~
Electric Contractor
Use I Nature of Work
OR
[] EIV form attached (If Replacement)
Application(s) and fee(s) can bc brought to City Hall, Room 205 or mailed to Inspcction Services, PO Box ! 128, Oshkosh WI
54903-1128. Commencing work witllout permit(s) will result in fees being doubled or $100.00 plus the normal permit fee,
which ever is greater.
OR
Check here if you w~nt this processed Chrqugh your accoonc ~