HomeMy WebLinkAbout0117512 P
G
OSHKOSH
ON THE WATER
Job Address 870 W SOUTH PARK AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner POKLASNY INC
Category 401 - Residential-Exterior (laterals)
Contractor M P KELLY
No
117512
Create Date 12/06/2005
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait.SI.
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink
Toilet 0 Disposal 0 Bidet ----.2 Sculry Sink
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink
Bar Sink 0 Sump Pump ----.2 Lab Sink 0 Plaster Sink
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink
Misc. 0
Fixtures
Use/Nature r~~"--
of Work
Size Material
Sanitary Sewer 4" Plastic
----.2 Shamp Sink ----.2
0 FlrlWst Sink 0
0 Catch Basin ----.2
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp 0
Coffee Maker ----.2
Int Grease Trap ----.2
Ext Grease Trap ----.2
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs ----.2
Deduct Meters 0
Wtr Usage Mtrs 0
Storm Sewer
Water Service
Type # Conn. Type
Lateral 1 Relay
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$50.00 0 Permit Voided I
Parcelld #
1310260000
Valuation
Permit Fees
$3.500.00
$0.00
Plan Approval
Issued By
Date 12/06/2005
In the performance of this work, I agree to perform all work pursuant to nules goveming 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 penmit application within an easement, the City strongly urges the penmit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 665 N MAIN ST
AgenUOwner
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.