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HomeMy WebLinkAbout2003-Plumbing (basement drain)OSHKOSH ON THE WATER .lob Address 1317 S MAIN ST Contractor O'NEILL ENTERPRISE INC Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 1 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 1 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 0 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner TERRANCE F PAFFENROTH Category 410 - Residential-Interior Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Bidet 0 Exam Sink 0 Catch Basin 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 101073 Create Date 04/29/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature Duplex/Repipe basement drain, waste and vent of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $3,300.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 04/29/2003 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 '~04/28/2003 28:13 City of Oshkosh Inspection Services Division P O Box 1i30 Oshkosh, W! 54903-1130 Phone: (920) 236-50S0 Fax: (920) 236-5054 9205893010 ONEILL PAGE 01 Q_/HKO_/H THE V~'^TE R _p,!umbing 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 thc Wiscousin State Plumbing Code, in thc performance of which all parties hereto a§rcc to a~d are bound by said statutes. JobAddress tWIT 5. I-~ 5'['."e~4'Value(,.=,~din~l~bo~and~,~.~.,~).. ~~°°''-° Date ~/~/o~ Owner 'T'¢r ~,~, ~cc'(~e..,~ ~o+L~ Contractor O' ["]Single Famil~ J~Duplex F-1Multi-Fnmily n~Renta! [~Commercial [~Industrial Number of Fixtures: Sterillz~r Br~nkrm Sink Bathtub ,. W~fflpool Lndry Stflndp ~ ~nt, ~er, ~ $hn~ Sink ~valory Disposal ~ ~p Wcll FIr/Wsl Sink Toilet Dish.shot ~ink Fm Catch Basin Res. Sink Slump Pump Wait. S~. ~. Wash Fm Bar Sink Ej~r/G~nd Icc Ch¢st U~nal Water Heal~ Water Sofwcr E~am Sin~ ,, Gar ~'ain ~ Gas c.~ Elec~c :Z~ P~wcr Vent Local Waste Scul~ S~nk Soda Sho~ Clot~s Wshr Hand Sink Coff~ Flor Drain ~__ Rider _____ F Prep Sink Icc Maker ~dry Tray B~r Tap Scm Sink Site ~qb S~k , · Cl~sst~ Sink Iai O~asc T~p Roof ~as~r Sink Sur~o~ Sink Ext Grease T~p __ Stnndp Ree Electric Contractor Use/Nature ofWork_??e~:~¢ ~c~¢r-xe_~- ~)~o,~ ~_, .C,,.Jo.~: ,~,,.~( [] EiV form attached (If Replacement) Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type Application(s) and fee(s) eon be brought to City Hall., Room 205 or mailed to In.~pection Services, PO Box 1128, Osbk-osh 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 Cheek here if you want this processed through__your accoun~ ~