HomeMy WebLinkAbout0103432-Plumbing (toilet)OSHKOSH
ON THE WATER
,Job Address 1223 ARMORY PL
Contractor M P KELLY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JESSE L/AMY P FISSEL
Category 410 - Residential-Interior
No 103432
Create Date 08/11/2003
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 1 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 SFR/ Replace toilet.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $348.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date 08/11/2003
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.
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084 A~JG ~ '~ 200~
Plumbing P e rm i{: / lf tifl fiLOPU£NT
I hercby apply £or a permit to do and install the to[lowing plumbing 0n thc premises hercina£ter &scribed, thc work to conform to the
Wisconsin State Plumbing Code, in the per£orn~nce o£ which all parties hereto agree to and arc bound by said statutes.
· Application(s) and icc(s) can bc brought to City Hall, Room 205 or marled to l. nspcction Services, PO Box ]
Oshkosh W! 54903-1128. Commencing work without permit(s) will result in fccs being doubled or $100.00 plus thc
normal permit t'ec, which ever is ~catcr.
OR
[f vou are a contractor participating Jrt the Permi! F¢¢ ,4ccount System and have adequate funds, check here
ff }'ott wan! t]tJ$ processed throtlgh Vottr accot~rtt [il
~ht~!e Family ["]Duplex [-~MultiIFamily [--~Ren tal /[--]C/o~mercial [-']Industrial
Number of F~xtures:
Bathtub Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory Dishwasher Drink Fm Catch Basin
Toilet 7 Sump Pump Wait. St. Wash Fm
Rcs. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water SoRrier Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink
~ Gas ~ Elect U PwrVnt Soda D~sp
Clothes Wshr Hand Sink
Shower Coff~ Maker
Bidet ..... F Prep Sink Ice Maker
Floor Drain
Beer Tap Serv Sink Site Drain
Imdry Tray Classrm Sink In! Grease Trap
Lab Sink Roof Draln
Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink
Bmakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
/
Size Material
,OR [-']Electric Installation VerificatiOn form attached
./~~L__.(If ReplaCement)
T~e # Coun. T~e
3/02