HomeMy WebLinkAbout0123708-Plumbing (toilet & lav)
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OSHKOSH
ON THE WATER
Job Address 527 MADISON ST
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH
No
123708
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JOANNE E HESS Create Date 03/06/2007
Category 410 - Residential-Interior Plan
Water Softner Wait. St. ShampSink 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
SFR / REPLACE LAV & TOILET **check #8410
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0401470000
$0.00 Permit Fees
$25.00 0 Permit Voided I
Valuation $3,000.00 Plan Approval
Issued By ()yyI vJ
Date 03/06/2007
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
Address 665 N MAIN ST
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 (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
Qshkosh, WI 54903..,1:130'
Phone: (920) 236-505'0 .
Fax: (920) 236-5084
MAR 0 5 2001
Plumbing :Perm~itA,,:pl:i:catiot1.
.
~R
I 0 THE ~^TE
I hereby apply for. apern;Ut to do and iilstllll the . followingplum;birtg OMh~J)tetnises .hereinafter descrlbe~tbe work.to confotmtQ the
W isco~in State Pl1J1Dhwg Code, in the performance of which all,partj~ ~et:eto...~~ ,tQ and. .are'bouttd bY.:Sld4stat,utes.
. .
. ."
. ApPlication(s} and fee(s}'can be broughfto City::fla:l1,.R,oom:,'l,05' ()t'nuiileq tb:InspectionServic~s;:PQ 'Bo~j 128,
OshkoshWI 54903-112S. Commencing workwiihout-.'Petll1it(s).:will.result.iil fees beir)g douhled-Or SlOO.OO plus the
nonnal pe~Hee, which ever is greater. . ,
OR ..' "
~~ ~ou are a,c~rt.tractorvarticipating,iht/j:e, Permit Fee Accoiu!lt,Svsiemand haveadefJu,ar~;fu.nds.,c:heck here
i _ouwantthls vrocessed thro,ughvo,ur aCl?:ount n ,'. . ,
. ~ ". .
JObAddrt11s,>~ ~..... Value (h>'I"dm'l_oM.~~..&x~tf)j. .. 41
~'/ 7"€ontractor " . .. . ,
~el'anillY DDuplex DMl!ftI'Fa!l1lIy ~euud · Qc...' ...
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..... :,'J:J~leQtti'ri..:~B~~ti~ti~ll,;'\?;erlit~ti~ni(Q;tin att~ched
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NUJ:nber of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Oas-OEleetOPwrVrit
Shower
Floor Drain
;Dispo~al........ .
"Dislnvasher . .' .
SumpP:utnp
Ejector/Grind
Water Softner
Local Waste
Clothes W$hr
Ilidet '
Beer Tap
'Glassrm-5in'k '
" SurgeOli~Sink
. BreakmrSil'lk
. . Dip W.ell
Drink Fm
Wait.St.
Ice Chest
,EXam Sink '..
:l~p~,Sink
. .U''''~~}~;'' .', "
'. :F'P-rep Sink: .'
, .,,:S'~rv,~lnk
. .' . ,~,,'.~~~:~.~~e ~rap :>.. ..-
. .' ',:~"eq~se'1'i'ap:':'
:lU~iZ:Valv.'e '. .
. . ..~Ji:amp:Sink,
.. ,dntlWs(SiIjk
-------
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Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
, FixtufCS
. 'Jtlectric Contractor
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";#,'
..:cd.1n;:t~e'
Sai1i~ S'ewer
: Material
...
,type'.'
, ; ;~Ston:n:SeW:'er:/' .
,.\Vatof;SerVice .
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""";;0' ~:",::,:",,""~Y:..
., 'lildtts,L',:",:,;~
L~;~~~~,~~.~~':.:.._,_.w~~~;
C!ltch Basin
Wa~h'Ffu
Urinal
Oar Drain
Soda Pisp .
COffee .Mak~
. Ic~ Milk.er
. Sitc'0r8in.
Rl)OfPrain
. S~rtdp, Rcc
"Eye'W~mS1l\
Wtr Sewer'Mtrs
Deduc<-l Meters
. Wb-Usage Mtrs
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4/05