HomeMy WebLinkAbout0110472 POSHKOSH
ON THE WATER
Job Address 1937 OHIO ST
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump __
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH No 110472
PLUMBING PERMIT - APPLICATION AND RECORD
Owner TECKLA REPENSHEK Create Date 09/13/2004
Category 401 - Residential-Exterior (laterals) Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 Water Soffner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
REPAIR WTR SERV
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
$1,000.00 Plan Approval $0.00 Permit Fees
Material Type # Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
Lateral 1 Repair
0
0
$50.00 [] Permit Voided
Parcel Id #
1409140000
Date 09/13/2004
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.
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 (Le. 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.