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Home My WebLink About0106038-Plumbing (sump pump)CITY OF OSHKOSH 106038 No OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address1265 HURON CTOwnerTHOMAS E/IRENE LYNCHCreate Date01/13/2004 ContractorM P KELLYCategoryPlan 410 - Residential-Interior Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0 Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00 Soda Disp Lavatory00Local Waste0Wait. St.0Shamp Sink00 Lndry TrayCoffee Maker Toilet00Clothes Wshr0Ice Chest0Flr/Wst Sink0 0 Lndry Stndp Int Grease Trap Res. Sink00Bidet0Exam Sink0Catch Basin0 Disposal0 Ext Grease Trap Bar Sink000Wash Ftn0 Beer Tap0Sculry Sink Dishwasher RPZ Valve0 Water Heater010Urinal0 Sump PumpDent. Oper.0Hand Sink 0 Eye Wash Statn Site Drain000Standp Rec0 Classrm SinkLab Sink0Plaster Sink Roof Drain000Ice Maker0 Breakrm SinkSterilizer0Surgeons Sink Use/Nature SFR/ Replace sump pump. of Work SizeMaterialType#Conn. Type Sanitary Sewer0 0 0 0 0 Storm Sewer0 0 0 0 0 Water Service0 0 0 0 0 $0.00Permit Voided Valuation$265.00Plan ApprovalPermit Fees$20.00 Issued ByDate01/13/2004 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. Date Signature Agent/Owner Address665 N MAIN STOSHKOSHWI54901-4431Telephone Number231-1750 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 o'f Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~.:: I E ~I ~~N'04 ON . fR (Uy .. Plumbing Permit Application DEPARTMENT OF COMMUNITY DEVELOPMENT I hereby apply for a permit to do and install the followi~g plumbing on the premises hereinafter described. the work to conform to the Wisconsin State Plumbing Code. in the performance of which all parties hereto agree to and are bound by said statutes. . Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128. Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR I au are a contractor artic' atin in the Permit Fee Account S ou want this rocessed throu h our account Date /2Ji,'i1 IE , Job Address J:< ~'5 JlUlCtJ# {!.f- Value (Including labor and inalerialsL. d &;",,-5, 0() Owner. 7OmlYNI'j/ Contractor at. !felt, /,-.c.. ~e Family ODuplex OMulti-Family DRental DCommercial Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas C! Elect 'J PwrVnt Shower FloOr Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Lndry Standp DiSJ)OSII Dishwasher Sump Pump Ejector/Grind Wlter SoRner Locll Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Brea1cJm Sink Electric Contractor Olndustrial I Dent. Oper. Dip Well Drink Ftn Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink Int Grease Trap Ext Grease Trap Stmnp Sink F1rfWst Sink Catch Basin Wuh Ftn Urinal Oat Drain SodIDiS1t C~ Maker tee Maker Site Drain Roof'Drain S~ Rec --..- OR DElectric Instalbition Verification form attached (If Replacement) Use I Nature of Work Size Sanitary Sewer Stann Sewer Water Service aeJl~ Material Type # Conn. Type ~1iJ 3/02