HomeMy WebLinkAbout0105715-Plumbing (laterals)OSHKOSH
ON THE WATER
.lob Address 1265 JUDY LEE CT
Contractor O'NEILL ENTERPRISE INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TIM RUSCH
Category 401 - Residential-Exterior (laterals)
No 105715
Create Date 12/11/2003
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
of Work
NSFR
Size Material Type # Conn. Type
Sanitary Sewer 0
0
4 Plastic Lateral 1 New
0
0
Storm Sewer 0
0
4 Plastic Lateral 1 New
0
0
Water Service 0
0
1.25 Plastic Lateral 1 New
0
0
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $75.00 ~J Permit Voided
Issued By
Date 12/11/2003
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.
12/11!2003 07:28 9205893016 OI~EILL PAGE 01
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Fl~mb~n~ Permit- Aaulication
1 ltareby in , ly hot s ptxmit ~ do otld in+tall tlfe following plptdbiing on tht: pretttites haemvitsr described, the walk to colaform t0 the
W i; . mdo Stns Phttabing Code, ita the pedbtmatlce of which sll patRes hereto agree to and are bound by said stattaes.
Job A,ddrssei , ~ a. bS" ~..8 t.~ ~- V#iqe (to~i~uns ~ur,nd m.t~rioN)~ 1 ~ a v ° ` ps-te 1 ~ - 11- u 3
Owner :~-•~s~- Go w s :: Captractor o' ~ aux. i~ . - ~ e.• -- - ---
~5thlt~le Fttf : ily ~Ple: []Mnlt~-F>troil~ ~Retahtl . QConttsttercipl ^Indaattrinl
Nwtaa!-cr of l:~ l;ttaras:
Bnlrub Sterilitxr 8reakaa Sink
Widriponl Lwlry StarNp laoM. Oper• _,_,_,~_ ' 9hamp Sink
lavnory piapowi lhp WeU F1NWN Shdc
TaSet DiahrrsaAer priallt Ftn Cokh &uM
Ra. SMk Sump Punk „~ „~ Wait. St. Wash Pm
sar Sink ,.___,_ P.JeetoN+Orind lee Chat lMnat
NYer tk~ater Water Soflnar fixam Sink for (lraia
Gt7aa ~1 tileairF: :wows van L4aJ wane Seulry Sink Soda Alap
srbwer --- Cbthoa Wahr Hand SiNe Cnfl'ee Makar
'bar Dean
ditat
P Prep Sisk
ke Mdtx
~~ Tray Beer Tap Sorv Sink Site Drtin
Jb ~` ClaaRm Sink ,,,~ ,,, ht t3ttute 't}ap Roof t)rrin
Mauer link Sur=aona 8fak Pan ateare 7Yap Stattdp ltte
+lectrie Can~;~:attott• Olin ^ EIY form'ttsrcbed (I,fRcplacr~llglt)
JSt' ~ ~~tWTI! II~~w~ S.e.w ~..r w-t'[t_ , ~•}•b-r tr ~--i-~F-.
• 8iu Material Type ~ Conn. Type
tmiury setMer ~~, `~~ r~ ~~~.~ H o
Donn Seger ~,.~ " ~ w ~-- s~..~ 3 s
lMGr Service l~ ~ 4t ° ~ 3\ y a~..•\ ~,,..,.
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Applicati<t ;f 11 and fee(a) can be brought to City Halt, Room. 20S or trtailed to [»apeelion 9orvices, PO Box 112f3, Oshkosh Wt
S4'i03-1 t:l I ~ Comrttettcing work without permit(!) Will r+eatult in fees being doubled ot- 5100.00 plus the norms,! petmk 1'ee,
which ev:t ::;- grenter.
OR
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