HomeMy WebLinkAbout0102330-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 3162 HAYWARD AVE
Contractor O'NEILL ENTERPRISE INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS N RUSCH
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 102330
Create Date 06/20/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
NSFR
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
4 Plastic Lateral
4 Plastic Lateral
1.25 Plastic Lateral
$1,200.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
$75.00
Date 06/20/2003
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
66/18/2803 0S:09
Cit~ of O~hke~,~
Inspection Set, iees Division
P O Box ! 130
Oshkosh, M ~. 903-1130
Phone: (920) 2;
Fax: (920) 236- ~084
92058938i6 ONEILL PAGE
O/HKO/H
Plumbin PermitA h'cation
I hereby alt )ly for a pen'nit to do and install Ibc following plumbing on the premiscs h~r~inalter described, the work to co~form to the
W.i,~ :onsin State Plumbing Code in the performance of which all parties hereto agrcc to and are bound by sa d startttes.
Job Addre~f..~1 L,,,..%~ Value (I. dudl.s
Owner Contractor
[~Single Fa~; ~ily [--']Duplex [--]Multi-Family ['-]Rental [~]Commercial
Date
{--]Industrial
Number of }:': ntures:
~lectric Conl! actor OR [] EIV form attached (If Replacement)
~se / Nature ~: I'Work S~.to~.-; ~_.ff~: ~t'o~. I_.~ .-~- ~,J-,.,,~ co~ ~
Size Materi~l Type #
rarer Service t~q ~
~onn. Type
Applicationl' i) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services. PO Box 1128, Oshkosh WI
5 903-112,. Corm-heating work without permit(s) wi]] result in tees being doubled or $100.00 plus the normal permit fee,
which ever i greater.
OR
Check here if you want ~hls processed ~hr, ou~h ~our accoun~ ~