HomeMy WebLinkAbout0123200-Plumbing (toilet)
G
OSHKOSH
ON THE WATER
Job Address 314 KNAPP ST
Contractor M P KELLY
CITY OF OSHKOSH
No
123200
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner PATRICIA 0 MAURITZ 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 Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR / REPLACE TOILET **check #8308
of Work
Valuation
Issued By
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0603670100
$376.91
(JrnLJ
Plan Approval
$0.00
_~_~~5.00 0 Permit Voided I
Permit Fees
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
AgenVOwner
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 (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
. J
JAN 1 720010f
~
OfHKOfH
ON THE WATER
Plumbing Permit AppUcation
I hereby apply for a perInit to do and install the followit;1gplumbingon the premises hereinafter described, the work to conform to the
Wisconsin State Plwnbing Code, in the perfornlance ofwbich all parties hereto agree to and are bound by said statutes.
. Application(s) and fee(s) can be brought to City Hall, RQom205 or mailed to fuspecti9nServices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permi.t(s) will result in. fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.. -
OR
If you are a contra.ctor participating in the Per"!it Fee Account System and have adequate funds. check here
if vou want this proce-ssed throu,flh vour a~co"'uiit n __~ _ _ --
Job Addres;vf~ VaIU. e (Including iabora.n.d.....-.l -176 r9/
Ow~ ContractorM'.l?Ke.lly , Inc. 665
0!ingle Family DDuplex DMulti-Family ORental DCommercial
/~I ~
. Date #;J- PC?
. ,
N. Main, Oshkosh
Dlndustrial
.. Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Wate{Heater
o Gas 0 Elect 0 PwrVnt
--I-
Oisposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner.
Local Waste
Clothes Wshr
Bidet
Beer Tap.
Classnn Sink
Surgeons Sink
Breakrm Sink
Dip WelI
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
. Int Grease Trap.
Ext Grease Trap
R.P.Z. Valve
~hamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urjnal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Roo
. Eye Wash 8tn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shower
Fioor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric .Contractor
DElectric Installation Verific3ition form attached
, (If Replacement) . .
Use I Nature ofWor
. SIZe
Material
Type
#
Conn. Type
Sanitary Sewer
r;p~
Storm Sewer
Water Service
4/05