HomeMy WebLinkAbout0122757-Plumbing (toilet)
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OSHKOSH
ON THE WATER
Job Address 701 KNAPP ST
CITY OF OSHKOSH
No
122757
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
1 Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner PETER J/CINDY L BAEHMAN Create Date 12/01/2006
Category 440 - Industrial-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
COMM/ LeRoy's Bar - Replace toilet.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0606590000
$449.77 Plan Approval
(!~
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 12/01/2006
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 (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.
City of Oshkosh
Inspection Services Division
POBox 1130
(\ Oshkosh, WI 54903-1130
, Phone: (nO) 236-5050
Fax: (920) 236-5084
(I)
QIHf<OjH
,ON THE W^TE~
Plumbing 'PermitAppllcation
I hereby apply for a permit to do and install the . following plumbing ontheprerniseshereinafterdescribed,thewoikto conformto the
Wisconsin State Plumbing Code, in the performance of which allparties hereto agree to and .arebound by said statute.s.
. Application( s) and fee( s) can be brought to City HaIl, Room 205 or mailed to Inspection Services,POBo~ .1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will re.sult in fees being doubled or $100.00 plus the
normal penniHee, which ever is greater.
OR
:, ~~::en~th~:t;::~:;se~r:~~~ua;:: vo~/::c:=:;iKee AccountS stem and haveade
unds . check here
Job Address
Owner
OSingle Family
;///^ I/{Cl
Value (Inc1uding labor and materials) 7"T7, 7 7 Date. /4~~:,?'-f'
Contractor ~ 01 ~(' . ":" · . ".
DMu.lti-Family ~l DCo ercial Dlndusti'al., ''''"
c. ...~. __~~.~:~
r\ Number of Fixture,S:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o GasU Elect 0 PwrVnt
Shower
Floor Drain
~
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
..:....--
Electric Contractor
Use lNatUre ofWor
Sanitary Sewer
:StormSewer. .
: Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes WShr
Bidet
Beer Tap
; l
Classtin Sink
Surgeons Sink
Sreakrr\1 Sink
Dip Well
DrinkFtn
Wait.St.
Ice Chest
.Exam Sink
.8,;,\';\111)' Sink
liall.df;~i~W .
F Prep Sink
.$erv Sink
Int:9re~se Tr~p
Elxt\Qrease1'fhp
RcP,Z. Valve
S.liampSink
E1rtWstSink
Catch Basin
WashFtn
Urinal
Gar Drain
Soda piS))
Coffee Maker
Ice Maker
Site Drain
RQOfDrain
Staridp Rec
EyeWash Stn
Wtr Sewer.Mtrs
Deduct Meters
WtrtJsage Mtrs
MaterIal
Type
fA5~Q .
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\Y 1,^'
\ }. 4/05
ENTOF.
COMMUNITY DEVELOPMENT