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Home My WebLink About0123203-Plumbing (sump pump) e OSHKOSH ON THE WATER Job Address 2633 W 9TH AVE CITY OF OSHKOSH No 123203 PLUMBING PERMIT - APPLICATION AND RECORD Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work ---i- Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner SUSAN C CHOLEWINSKI Create Date 01/15/2007 Category 410 - Residential-Interior Plan Water Softner Wait. St. Shamp Sink Coffee Maker Local Waste Ice Chest Flr/Wst Sink Int Grease Trap Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Bidet Sculry Sink Wash Ftn RPZ yalve Beer Tap Hand Sink Urinal Eye Wash Statn 1 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 ~FR / REPLACE SUMP PUMP "check # 8308 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1311960200 Valuation $441.96 Plan Approval Issued By ~k J $0.00 Permit Fees $25.00 0 Permit Voided I 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 Address 665 N MAIN ST _ _ d.~ Agent/Owner 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 (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 JAN 17 2007 if.) ~ OfHKOfH ON THE WATER Plumbing Permit Application I hereby apply for a pennit to do and install the foIlowil;1gplwnbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the perfor1l1ance ofwmch 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 Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing 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 participatinrz in the Permit Fee Account System and have adequate funds. check here if yOU want this processed throu,gh your account n .Job Address 2 &3& M 9/.L,~ Value (Including iabor and tnlIterillls) L/ Iii 9 (; Owner &- (!)du ~G,/ ContractorM'.P . Ke'lly , Inc. 665 ~gle Family DDuplex DMulti-Famiiy QRental DCommercial . Date lr:J-j;2-/,;CJ , N. Main, Oshkosh DlndustriaI Number of Fixtures: Fioor Drain Lndry Tray Lab Sink Plaster Sink Sterilizer Misc. Fixtures Disposal Dishwasher Sump Pump Ejector/Grind Water Softt1er . Local Waste Clothes Wshr Bidet Beer Tap Classrm Sink Surgeons Sink Brealcrm Sink Dip Well L Drink Ftn Catch Basin Wait.St. Wash Ftn Ice Chest Urinal Exam Sink Gar Drain Sculry Sink Soda Disp Hand Sink Coffee Maker F Prep Sink Ice Maker Serv Sink Site Drain lnt Grease Trap' Roof Drain ExtGrease Trap Standp Rec R.P.Z. Valve Eye Wash Stn ,S,hamp Sink Wtr Sewer Mtrs FlrlWst Sink Deduct Meters Wtr Usage Mtrs Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Electric Contractor OR DElectric Installation Verification form attached (If Replacement) . ' Use I Nature ofWor Material Conn. Type Sanitary Sewer Storm Sewer qCoJ Water Service 4/05