HomeMy WebLinkAbout0123202-Plumbing (toilet)
o CITY OF OSHKOSH No 123202
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 533 MOUNT VERNON ST Owner MICHAEL J WERTEUPAMELA THORP Create Date 01/15/2007
Contractor M P KELLY
. Category 410 - Residential-Interior
---.-
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
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
~FR / REPLACE TOILET **check # 8308
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0401310000
Valuation $373.00 Plan Approval
Issued By ~k }
$0.00 Permit Fees
$25.00 D 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
AgenUOwner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
Address 665 N MAIN ST
Date
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: (920) 236-5050
.Fax: (920) 236-5084
JAN 1 7 2007 v>
.cf'
(t)
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a pennit to do and install the follow:iJ;lgplumbing.on the prenrlseshereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the perforn.1ance of which all parties hereto agree to and are bound by said statutes.
. Application(s) and fee(s) can be brought to City Hall, Ro.om 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpermit(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 varticipating in the Permit Fee Account System and have adequate funds, check here
if YOU want this Drocessed throu,gh your ~ccountn
Iue (Including iallor and materials) .J..? d ,/Ofl
. Date/r).-jl s-jtJ "
Contractor M.l?Kelly , Inc. 665 N. Main, Oshkosh
Okental
DCommercial
Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
WatefHeater
o Gas 0 Elect OPwrVnt
.L-
Disposal DrinkFtn
Dishwasher Wait.St.
Sump Pump Ice Chest
Ejector/Grind Exam Sink
Water Softrter . Sculry Sink
Local Waste Hand Sink
Clothes Wshr F Prep Sink
Bidet Serv Sink .. .
Beer Tap lilt Grease Trap.
Classnn Sink ExtGrease Trap
Surgeons Sink R.P.Z. Valve
Breaknn Sink ~hamp Sink
Dip Wen F1rlWst Sink
r
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shower
Fioor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric ContractQr ~... . . .... OR . DElec.tr. ic IBStallatioDver.ification.form.att~c. bed
. ~~, / (If~lac~. . .
Usc/~atnreofWor ~ ~ - .
. Size . Material Type # Conn. Type
Sanitary Sewer
~/
Storm Sewer
Water Service .
'.
4/05