HomeMy WebLinkAbout0123323-Plumbing (toilet & lav)
G
OSHKOSH
ON THE WATER
Job Address 917 W SOUTH PARK AVE
CITY OF OSHKOSH
No
123323
PLUMBING PERMIT - APPLICATION AND RECORD
Owner KATHRYN L L1NZMEYER Create Date 01/26/2007
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
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
1
1
Shower
Floor Drain
Lndry Tray
Disposal,
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
SFR / REPLACE TOILET & LAV "check #3817 " ,
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1306900700
$0.00 Permit Fees
$25.00 D Permit Voided I
Valuation $750.00 Plan Approval
Issued By ~W
Date 01/26/2007
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 notinQ 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 l130
Qshkosh, WI 54903-,1130
Phone: (920) 236-5050
Fax: (920) 236-5084
RECEIVED
...~
07R~QJ8
;. ..ON THE W^TE~
JAN 2 6 2007
DEPARTMENT OF
Plum~~A1~~~Trt,Qft~~~f&tion
I hereby apply for. apetmit to do and .mstallthe followingplum;bin:g oMheptetnises .hereinafterdescat1ed1the workto confotmtothe
Wisconsin State Plwnbing Code, in the performance of which allparties' hereto~ee to and.arebourtd by said statutes.
. . . '
. Application(s) and fee(s)can be brought to City'Ha:If~.Room-205 prrilailed to Inspection.Services;POBo~ 1128,
Oshkosh WI 54903-1128. Commencing work withoutpermit(s)will resultin fees being doubled or $100.00 plus the
normal perrnit.fee, which ever is greater. -
OR .
If vouareacontractor particivatingihthe Permit Fee AccoimtSvstem and hgvea.dequat:eful1ds.check here
if you want this processed throu!!h your account n . ,"
. .
JobAddrcss <1'"1 W ~~~~~CludinglabOrandn1lltCri3JsJ
Own~ ~ WSMJl~~Contractor, .,.'.-<
Qs'iIlgleFatnily DDuplex DMlflti..Family DRental'
Date ~. -!,~:~~:]),
"-:''':''-.;';':;'
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Dlndus.: .,'
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N umbel'ofF'ixtures:
--'--
~
Catch Basin
W~hFtn
Urinal
Gar Drain
Soda Disp .
Coffee Mak<;r
Ic~ Milker
Site Drain
-R~.r Drain
Stat'ldp Rec
EyeWlIshSlIl
Wtr Sewer'Mtrs
I>edilct Meters
WtrUsage Mtrs
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o GasO Elect 0 PwrVtit
I
\
:Disposal.
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes W$hr
Bidet
Beer Tap
ClassrmSinJ(
SurgeoJisSink
BreakrmSiflk
Dip Well
-'--
DrinkFtn
Wait.St.
Ice Chest
,Exam Sink
~~ri:;; .'
.FPrep Sink
$erv.Sink
:'.':~;~:e~:p .'.
R.P,Z:Valv.e .
~hampSiak
./li'ltlWstSi~k
."'~
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
. Fixtures
.', ....
.-
-'--
Electric Contractor
UsefNaturoofwork.\9Att
. , . . ..,'...' "...
.OR .'. .'DEJectri~;,:'Ins:t~il~ti~D',V:edfh~a.:tiPn'f()rm att~ched
kWi;~ .
Size
.Material. . .
TyPe
#
: CbI1n.,type .. .
Sam~ Sewer
,.Water,Service
~~
)Storm:Se\'ll.ert" ,
',-
4/05