HomeMy WebLinkAbout0104520-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 902 CONCORDIAAVE
Contractor O'NEILL ENTERPRISE INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JAMES N/ANGELA NEWELL
Category 402 - Residential-Exterior (other)
No 104520
Create Date 10/02/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 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
Use/Nature REPAIR / REPLACE SANITARY SEWER LATERAL
of Work
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 Repair
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $25.00 ~J Permit Voided
Issued By
Date 10/02/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 5575 CTY RD N PICKETT WI 54964 - 0000 Telephone Number
428-4700 589-2007
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~0/01/2003 ~5:2~
Xnspectlon Set. Jees Division
P 0 Box 1130
Oshkosh, WI ;! :i903-1130
Phone: (920) ;',.
Fax: (920) 23~, 1084
9285893816 ONEILL
PAGE B1
Plumbing Permit Aoolication
I hereby c~l I:Iy for a l~-~t to do and inst~ll thc following plmnblng on ~e premises hezeinnl~r ~be~ t~ work to conf~
W:~: ~:o~ S~g Plumbing ~, ~ ~c po~ of which all ~i~ be~lo a~ to ~ are ~d by said
~Sbgle F~ ~,il~ ~plex ~ult~Famfly ~R~ ~C~mereial ~lndus~al
Number of ]~ ~:ctures:
B~h~ub St~rillzer ereaL?m Sink
Wl~iflpool Lndry SI~Hp Dmt. ~, ' Sha~ Sink
~ ~n~l Dip wall FIr~st Sink
~. S~ Su~ ~ W~it. St. ~ Wash Fm
:~ Drain __ Bidel __ F ~ ~;flk Ice Mak~
~ Troy .... B~ Tap ~ Sink Si~ ~in
lb Sink Clff~ Sink ~t ~ ~ R~f ~n
Uectric Corn t.~ctor ~OR [] EIV form attached (IfRcplacemem)
Sse/Nnmre )]'Work X'~g~).~',.~/IL~PL~e.-~. ~=.--,~- I..~-,'-rb,o~c-
Size M~eriel Type #
mnn S~r
lalc~ ~ervicc
Corm. ~l'ype
AppJicafior I?,) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspect{on Sem.'ices, PO Box 1128, Osl~-osh WI
5490.3-1121. Commencing work without pcTmit(s) will r~sult in fees b4~ng doubled ot $100.00 plus the normal p~rmit fee,
wl~ch ever ? greater.
OR
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