HomeMy WebLinkAbout0099319-Plumbing (toilet)OSHKOSH
ON THE WATER
,Job Address 663 N MAIN ST
Contractor M P KELLY
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 1 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
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EK CORP
Category 440- Industrial-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 99319
Create Date 01/06/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature COMM/Replaced toilet.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$295.58 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
01/06/2003
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
City of Oshkosh
Inspection Services Division
P O Box I 130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5054
O_fH< O_fH
ON T~[: WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the followi.ng 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 Inspecti°n Services, PO Box 1128,
Oshkosh WI 54903-1128. Corr.. encing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account St, stem and have adequate funds, check here
if_you want this processed through your account []
,amber of Fixtures:
Bathtub L~dry Stsndp Dent. Oper.
FI~Vst Sink
Whirlpool Disposal Dip w,, JAN 0 6
Lavntory ----r Dish~nsher Drink Fm
Toile~ / Sump Pump Wait. St. . D~DA ~'~. - Wash Ftn
Bar Sink
Wirer Sot~ner
Water He~ter Local Waste Sculry Sink
[] (3~s C] Elect n lhntYnt Clothes Wshr Hand Sink Coffee Make~
Shower Bidet F Pr~ Sink lee Maker
Floo~ Drain Beer Tap Serv Sink Site
Lndry Tray C1assrm Sink lnt Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Stnndp Rec
Plaster Sink Brenkrm Sink
Sterillze~
Electric Contractor
Use / Nature of Work
[-']Electric Installation Verifleati6n form attached
Sanitnry Sewer.
Storm Sewer
Water Service
Size
Material Type # Conn. Type
3/02