HomeMy WebLinkAbout0105181-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 1225 FAIRFAX ST
Contractor O'NEILL ENTERPRISE INC
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 401 - Residential-Exterior (laterals)
No 105181
Create Date 11/03/2003
Plan
Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature INSTALL SEWER AND WATER LATERALS FOR NEW SFR
of Work
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 4" Plastic Lateral 1 New
0
0
0
0
Water Service 1-1/4" Plastic Lateral 1 New
0
0
0
0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $75.00 ~ Permit Voided
Issued By
Date 11/06/2003
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.
18/30/~083 18~34
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PAGE 02
Plumbing Permit Application
I hereby ~t'.l .,ly for a penni! to do and install the following plumbing, o= the premises, her~inal'tcr described, the work.tOstamtes.Conform to ~hc
Wi~ .:onsin Sram Plumbing Cod=, in the performanc~ of whtch all parae.q hereto agree to and aM bound by sam
Job Addres!,
Owner
~]Single F~,: "J~7 [~,Duplex
Number of ] Ixt~res:
Lnd~ Tray B~cr Tap
Bmakm~ Sink ~
D~{, Op~. Sharnp Sink
Dip Well FIr/Wst Sink
Drink ~m Cash ~ln
Scu~ Sink Sodn ~
H~ Sink Ceffe~ Mak~
F ~ Sink 1c~ Ma~;
~ofDmin
ht O~ Tmp ' ~
Ext ~ ~ap Standp R~
Electric Cm~ ' ~ac/or .....
Use / Nature:! id Work
D EIV form attached (If Replacement)
Applicati,: ~,:s) and fee(s) can be brought to City Hall, Room 205 or m~iled to Inspection Services, PO Box 1128, Oshkosh
54903-1 ]:'L. Commencing w0rk without permit(s) will result in fees being doubled or $100,00 phs thc normal Pe~-n~t fee,
which eve is greater,
OR
Check here. if yqu ,,wane ~his processed throuffh your aecoun~ ~