HomeMy WebLinkAbout0102430-Plumbing (laterals)CITY OF OSHKOSH
102430
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address2395 HICKORY CTOwnerSTEVEN M/LYNNE PETRCreate Date06/25/2003
ContractorO'NEILL ENTERPRISE INCCategoryPlan
401 - Residential-Exterior (laterals)
Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory00Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet00Clothes Wshr0Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink00Bidet0Exam Sink0Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink000Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
Water Heater000Urinal0
Sump PumpDent. Oper.0Hand Sink
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker0
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature
of Work
NSFR
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
4PlasticLateral1New
0
0
Storm Sewer0
0
4PlasticLateral1New
0
0
Water Service0
0
1.25PlasticLateral1New
0
0
$0.00
Valuation$1,200.00Plan ApprovalPermit Fees$75.00
Issued ByDate06/25/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Signature
Agent/Owner
Address5575 CTY RD NPICKETTWI54964-0000Telephone Number428-4700 589-2007
06/25/2003 05:15
;Ity of Othkollh
nspectlon Semr. ell Division
, 0 lIox 1130
)&hkosh, ~Sf!.B3.1130
'hone: (920) 23:~~ 5050
lax: (910) 236-,!;:d 84
9205B93015
ONEILL
PAGE 01
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OfHKOlH
ON TI-fE WATER
Plumbing Permit AJWlication
I hereby apI! y fOJ: a permit to do and install the following plumbing on the prefilises hereinafter described. the work. to conform to the
Wige' .nsin State Plumbing Code, in the perforroa.nce of which aU partie$ hereto agree to and ar.e bound by said statutes.
Job Address... 2,:31\'5
:>wner
iSingle F'am 1y
.1 I II I 2.d:>~ ,. /. ~ fA
tcl:C.KO....y Co...tr..(. VaIUe(lnelud;"s!abor.nd-maleriQb) ~ , " Da~ \Q[2~~3
Contractor 0 'r.JL'l! E!t'"\.~l:~r','ift'$ Z^c..
Onuplex []MlIlti~Famjly DRental DCommerc:ill) Dlndustrial
~llJnber of F~i: :tares:
~t1ltub
1.Ihirlpool
.lIVBfonr
r oilcf
leI. Sink
lllrSinlc:
1I8le~ HelIter
lJ Gea tl E1e~tric fl 'OIll'ef'Vont
;hower
'lOaf Drain
.ndry TRY
Ab Siltk
1~ Sink
~Iectric: COBb actor
Sterilizer
Lndry SllIndP
Disposal
OJ ah_lll::r
Sump Pump
,lijcc1mlGrind
WAter Sonner .
1./lCll1 Wule
Cloll1e.5 WJh,'
Bidet
Becr Tllp
Claamn Sink
S~ons Sink
8fealcrm Sink
Dent. Oper.
Dip Well
Drink Ftn
WaitS..
Ice Chest
Bleam Sinle
Scult'y Sink
~3nc1 Sink
F Prep Sink
Scrv Sink
Inl OreillC Trap
Ext Grease Trap
S1lIInII'SInk
FlrlWsc Sink
Cateh ~a..jn
Wash Pm
Urinal
011, Omin
Soda .oisp
Caffee Maker
Ice Mllker
Si\.'e Drain
RDofDrain
Standp Reo:
QB.
o EIV form attached (IfReplace.ment)
Jse I Nature ~J r Wo..k
:anituy Sewer
Size
4" .
4"
I Jt; "
:torrn Sewer
Vater Service
Material
PVc.. s<:t.. ~o
PVc. s~~ ~o
#
Conn. Type
Type
· Applicationl;) and fee( s) can be brought to City Hall. Room 205 or mailed to Inspection Sentices, PO .Box 1l28, Oshkosh WI
54903~ t 12:1:, Commencing work Without pennit(s) will result in fees being doubled or $100.00 plus the normal permit fee
which ever i, . greater. '
OR
Check here if you want this processed through your account
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