HomeMy WebLinkAbout0102470-PlumbingOSHKOSH
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 410 - Residential-Interior
Bathtub 3 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 1 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 3 Lndry Tray 1 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 3 Lndry Stndp 1 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 1 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 102470
Create Date 06/12/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$8,000.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$102.00
Date 06/27/2003
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
9205893016 ONEILL
PAGE 01
Plumbing Permit Application
hereby ap~ y for a pem~it to do and install the following pltgnbing on the premises het¢~nat~er de~cribe~ the work: to conform to
Wise ~min State Phnnbing Code, in ~ p~Tormap.~c of which all panics hereto agree to and arc bound by said statute~
Owner (~i !e(- LOesc~o¢~ Contractor
[~S~ngle Fn~ ily I-]Duplex [--]Mnlti-Pamily l-]Rental ['=]Commercial [-']ledustr~aI
Number of Fl ttnres:
glegtric Conl[~ actor
Use / Nature r f Work
OR
[] EIV form attached (If Replacement)
' Si~ Material Typ= # Con~. Type
~anita~ S~r
;term Sewer
a'ater $c~ice
Applicatio.c,, s) and fee(s) oan bt brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128, Oshkos~ W~
5d903-1 ] 2B Commencing work wlthout pertmt(s) will result in fees being doubled or $ i 00.00 plus thc normal permit fcc,
which eyre' ~; greater.
OR
Check
here
~f
yOu wanC Chl~ processed Ch.ro~h your accoun~ X