HomeMy WebLinkAbout0123205-Plumbing (sump pump)
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OSHKOSH
ON THE WATER
Job Address 1970 CLlFFVIEW CT
CITY OF OSHKOSH
No
123205
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DAVID J BORSUK Create Date 01/15/2007
Category 410 - Residential-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 Disi>
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
SFR / REPLACE SUMP PUMP **check 8308
Size Material Type # Conn. .Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1525930000
$0.00 Permit Fees
$25.00 0 Permit Voided I
Valuation $405.75 Plan Approval
Issued BY~W
Date 01/17/2007
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
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
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 (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.
City of Oshkosh
Inspection Services Division
POBox .1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
, JAM '.12001 ,~.)'
, C()'
PlumbingPermUAppli.calion
.
OlHt(OfH
; . ,ON THf WATfR
I hereby apply for a permit to do and install the. following plumbing onthepretniseshereinafterdescri~edjtheworkto conforrnto the
WiscoI1&in State Plumbing Code, in the performance of which aUparties heretollgree to and are bound by said statutes.
. Application(s) and fee(s)can be brought' to.CityHall,RootnZ05otmailed to Inspection. Services, POBox. 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s} will resultin fees being doubled or $100.00 plus the
normal penniHee, which ever is greater.
OR
;f~~~ ~en~t~~:t;;;::;sef/:i;.~::~nvo~n/:dc~::~jKee AccountS stem and have ade
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~Ie Family DDuplex DM~.J.ti-Family
ck here
.Datejd4~~ ;;
Number of Fixtures:
Bathttlb
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
,Disposal
,. DishWasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes WShr
Bidet
Beer Tap
Classl1nSink
Surgeons Sink
Brea\crn1 Sirtk
DipWelJ
DrinkFtn
Wait.St.
Ice Chest
,Exam Sink
.$~\ilry Sink
HaI14!\~1~~
FPrep Siilk
ServSink
Il1t'qre~~e Trap
'ExLGrease1'tap'
R:P;Z. Valve
S.hampSirik
"FlrlWstSink
~
1-
'"'------
Misc.
Fixtures
:..,S:';""
;i:::r
,;,,,_,~:,,,.....:,...~.l.,,+;,~,,...,,- }-';
Catch Basin
Wa~hFtn
Urinal
Gar Drain
Soda Disp
Colfee Maker
Ice Milker
Site Drain
Roof Drain
Standp Rec
Eyewash Stn
Wtr Sewer'MtrS
Deduc;t Meters
Wtr Usa.ge Mtrs
Electric Contractor
L)
Use {Nature of Work
OR
.'.E]ElectricIDstali~tionVerificati9I1rOrm attached
(If Repla.:emen1) .
,. Colin. Type
Sanitary Sewer
. WaterService
If?/
4/05