HomeMy WebLinkAbout0118319-Plumbing
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OSHKOSH
ON THE WATER
Job Address 500 S KOELLER ST
CITY OF OSHKOSH
No
118319
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor M P KELLY
Owner RIVER VALLEY ONE LLC
Category 430 -Industrial-Exterior (laterals)
Create Date ~
Plan
Bathtub ---.2 Shower 0 Water Softner 0 Wai!.S!. ---.2 Shamp Sink 0 Coffee Maker ---.2
Whirlpool ---.2 Floor Drain ---.2 Local Waste 0 Ice Chest ---.2 FlrlWst Sink ---.2 Int Grease Trap ---.2
Lavatory 0 Lndry Tray ---.2 Clothes Wshr ---.2 Exam Sink ---.2 Catch Basin ---.2 Ex! Grease Trap --.2
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve --.2
Res. Sink ---.2 Dishwasher ---.2 Beer Tap 0 Hand Sink ---.2 Urinal 0 Eye Wash Statn --.2
Bar Sink --.2 Sump Pump 0 Lab Sink ---.2 Plaster Sink 0 Standp Rec 0 WtrSewerMtrs --.2
Water Heater ---.2 Classrm Sink ---.2 Sterilizer --.2 Surgeons Sink ---.2 Ice Maker 0 Deduct Meters --.2
Site Drain ---.2 Breakrm Sink 0 Dip Well 0 F Prep Sink --.2 Gar Drain 0 Wtr Usage Mtrs --.2
Roof Drain ---.2 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. ---.2
Fixtures
Use/Nature
ofWork
fA.BANDON SANITARY SEWER AND WATER FOR DEMO OF EXISTING HOTEL "CHECK #7596
Size Material Type # Conn. Type
Sanitary Sewer 8" Plastic Lateral 1 Aband
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 6" Iron Lateral 1 Aband
0
0
0 Parcelld #
0 0611620000
$300.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By
$100.00 0 Permit Voided I
Date~
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
AgenUOwner
OSHKOSH
Date
Address 665 N MAIN ST
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.
WI 54901 - 4431
Telephone Number 231-1750
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rnON TO REQUIRED
ONMBNT REGULATIONS
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¡tJ:¡c requirement for abandonmcnt of Ihe
bc~uircd 10 mcl:t the ordinance for
o~:removal of the 'eT\Ied structure:, (Chtck
i¡;~on a1 this lite wilhin twelve months of
d,l, ~,'es W, iI.1 not be foUlcd WI :tbln thJs time
, : property Uno per ordinance
1m date oftbls r=quesl. .1-7 t:feVMrIr.5
. ¡. the ,ìructure Is romovecl to malee the
~!lit,J !!etwlll be secured against damage
batldOnod to meet the nquimnents of
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