HomeMy WebLinkAbout0103490-Plumbing (laterals)OSHKOSH
ON THE WATER
Job Address 1295 FAIRFAXST Owner RUSCH HOMES LLC
Contractor O'NEILL ENTERPRISE INC Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink __
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink
Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink __
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
Bar Sink g Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 103490
Create Date 08/13/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Iht Grease Trap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 Eye Wash Statn 0
0
0
Use/Nature
of Work
NSFR
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
4 Plastic Lateral
4 Plastic Lateral
1.25 Plastic Lateral
Conn. Type
0
0
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $75.00 [~PermitVoidedI
Issued By
Date 0~13~003
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 necessaw approvals before staffing such activity.
Signature Date
Address 5575 CTY RD N
Agent/Owner
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.
City of OshKo~'l
Inspection Sum c~s Division
PO Box 113~
Oohkosh, WI {. ~03-1130
Phone: (~20)
Fax: (~0) ~al!L, :0R4
9205893016 ONEILL PAGE 01
OYH O/H
Plumbl'n Permit A lication
I hereby 0'~ ,ly for a permit to do and install the following plumbing on the premises hereinafter d~scribed, the work to conform to the
tV'i, ~onsin State Plumbing Code, in I1~ performance of which all pat~iea hereto a~-ee to and are boa~l by said statutes.
~Single l~t dl:~ [::]Duplex
Value (In¢ludin,q lair a~d
Contractor
[~ulti-l~amily n']Rental n]Commercial
[~Industrlal
Electric Co;~ I"actor
Use I Nature-, ,fWork
OR
$hamp ~.k
Wash Fm
Oar ~nin
D EIV form attached (If Replacement)
· Size Material Type #
Applicatk: 's) and f~c(a) can be brought to City Hall, Room 205 or mailed to Inspection Servlcns, PO Box 112g. Oshkosh WI
54903-111',~- C~mmcncingw~rkwiih~utpermit(s)wi~resu~tinf~esbeingd~ub~ed~r$~.~p~usth~n~rma~pcrmitf¢c~
which eve · s greater.
OR
Check here if you wane ~hi$ progesscd Chrou~h your accounc~