HomeMy WebLinkAbout0102974 POSHKOSH
ON THE WATER
,Job Address 693 N MAIN ST
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GRACE BROWN
Category 441 - Industrial-Water Heaters
No 102974
Create Date 07/21/2003
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 1 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 COMM/Replace gas water heater.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$560.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date 07/21/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 - 4431 Telephone Number
231-1750
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 of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
JUL 2 1 200
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the perfonmnce 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 ~eater.
OR
lf vou are a contractor participating in the Permit Fee Account Svstern and have adequate funds, check here
if you want this processed through your account
Job *ddress
Owner
I"']Single Family [-]Duplex i I-']Multi-Family[-]Rental - /~oommercial~ '
Date
['-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper. Sham~ Sink
Whirlpool Disposal Dip Well FIr/WsI Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet Sump Pump Wait, St. Wash Fin
Res. Sink Ejector/Grind lee Chest Urinal
Bar Sink Water Sofmer Exam Sink Gar I~'ain
Wat~n~ater '7 Local Waste Sculry Sink Soda Disp
~as ~ Elect [3 Pw~Vnt Clothes Wshr Hand Sink Coffee Maker
Shower
Bidet ..... F Prep Sink Ice Maker
Floor Drain
Beer Tap Serv Sink Siie Drain
Lndry Tray Classrm Sink Iht Grease Trap Roof Drain
Lab Sink
Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink
Breakrm Sink
Sterilizer
Electric Contractor O'R
.~ ~--~) (If Replag~ment)
,Use / Nature of Work ~/C~ ~ff ~ff~/ff~.~,~
[--]Electric Installation VeriflcatiSn form attached
StormSanita~YsewerSeWer Size Material Type # Conn. Type
Water Service~
3/02