HomeMy WebLinkAbout0101605 POSHKOSH
ON THE WATER
.lob Address 1290 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 101605
Create Date 05/16/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature NSFR/new sewer, storm, and water laterals.
of Work
Valuation
Issued By
Size
Sanitary Sewer 4"
Storm Sewer 4"
Water Service 1.25"
Material Type
Plastic Lateral
Plastic Lateral
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 05/19/2003
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
05/15/2BB3 iT:BT 9285893816 ONEILL PAGE 01
Ci~ of Oshkosh
l~pection Services ~h'lalon
P O Box 1130
O~hkosh, W~ 54903-1
Pho~e~ (92~) 236-~050
Fsx: (~0) 23~50~
H
ON THE WATER
Plumbing_Permit Avolica,,t!on
I hereby ~p~ly for a p~rmit io do and insla]l the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbinl~ Code, in tho performance of which all panics hereto agree to and are bound by said statutes.
Job Address l.~ :~..~ ~, - ~k~,~.~t.~.+ c-CRYalue ([-~t.di,S,~,~. ~d mnlet~ahi~_~_~9-___O, tl o..~o ...... Date
Owner ~->..~.1~, ~_~n'.. Contractor O~.N
.J~]Single Family [~]Dnplex [==]Multi-Family [-]Rental i'[Commercial ['=]Industrial
Number of Fixtures:
.ta~iory Di~nl , , ~p Well
Toilet ~ ~ah~ah~ ~nk Fm
Rcs, S~k ~u~ Pu~ Watt. St
B~r S~k Bjec~r~d kc
~ho~ Clot~ Wshr l-land
~ BM~ F Pr~ Sink
~d~ T~y
~ Tap . ~
~ Sink
-- C~ Sink _. Iht Or~ Trap
Plnit~ Sink ._. Sl~s ~{~ '. ~t O~ Trap
Electric Contractor O~R
Use / Nature of Work__~J,~-~o ~-'.'"~' ~ , ~"'"' , ~ L-"r'P-- ...
Shnmp Sink
Fk/W~t
Catch Basin
Urinal
Gar ~ain
Coff~ Mnk~
fcc Makcr
EIV form attached (If Replacement)
Size Material Type
Snnitaxy Sewer ~=~" ~ c.. a t_~-
Cora. Typc
/
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Service~ 'PO Box 11.28, Oshkosh WI
$4903-1128. Com~er~cirig work without permit(s) will result m fees being doubled or $100.00 plus the normal permit
which ever is greater,
OR
Check hexe if .yOu want thts~proce~sed through your account