HomeMy WebLinkAbout0123315-Plumbing (sump pump)
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OSHKOSH
ON THE WATER
Job Address 619 E NEVADA AVE
CITY OF OSHKOSH
No
123315
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DEXTER E COOK 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 DUPLEX (Qt,fTHE SIDEFACING POWERS ST)/ REPLACE SUMP PUMP *checl< #8317 ,'C.d.
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1507430000
$25.00 0 Permit Voided I
::::::: ~~Ian Approval
$0.00 Permit Fees
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
Address 665 N MAIN ST
- .
Agent/Owner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Request line at236-5128 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
ECEIVED'
e
OJHKOfH
, . ON THE WATER
JAN 2 6 2007
DEPARTMENT OF
PluhQM~tFW~'~cation
I hereby apply for apenrtit to do and install the . following plumbing onthepretnises hereinafter described, the work to conformto the
Wiscons.inState Plumbing Code, in the perfonnanceofwhich aUpartiesheretollgreeto and are bourtd by said statutes.
Application(s} and fee(s)can be brought to City Hall; Rooin205 ortnailed to Inspection. Services, PO Box<1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s} will resultiil fees being doubled or $100.00 plus the
normal pennit.fee, which ever is greater.
OR
ouareacontractor artici atin in the Permit Fee AccountS stem and have ade
au want this rocessed throu. .h. o.ur account I.. . 1>
(P}q f:.NeVCtdtL ~. L,(.)O(~ lOT J
. . Value (Including labor and Ti1atethlls) 9.()p
check here
.
I
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Date... I ~~.;~;':J.~.. .';'
: '.. ;,,:~:<;
.... .";....:.._,_..,~.c,,.,.._ ....~ ,. ~_,'::,.,
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o GasOBlectO PwrVnt
Shower
Fioor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
: Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes W$hr
Bidet
Beer Tap
Classffi1SinJ(
Surgeons Sink
Breakrm Sink
Dip Well
-+-
DrinkFtn
Wait.St.
Ice Chest
Exam Sink
$flY!ry Sink
>>a~~'~i~~ .
FPrep SInk
Serv. Sink
. Iill\Qrease Trap
. ..ExtO~seTtap.
R.p;Z:Valvc
.~hampSink
E1tlWsfSink
Catch Basin
WashFtn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Il:e Maker
Site Drain
Roof Drain
Stand? Rec
l3yeWashStn
Wtr Sewer MtrS
Deduc:t Meters
Wtr Osage Mtrs
-'-----
Misc.
Fixtures
. '
.' ",", '.' -, "
. . .- .,' ","" ',"
OEle~triclnstaliation..\lerincatipn.(()rm. attached
. . (If Repla~errienl) .. .
Sanitary Sewer
OR
Electric Contractor
Use I Nature of War
.MateriaJ
Conn. Type
...tv...... /
0'7
;;&tonn$ewer')'..
Water:Service
4/05