HomeMy WebLinkAbout0123705-Plumbing
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OSHKOSH
ON THE WATER
Job Address 100 STONEY BEACH RD
I 'I' III1 i
CITY OF PSHKOSij, !
, III1 I I 'I
PLUMBING PERMIT - APPLICATION AND RECORD
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Own~r ~AN VISTE REV TRU 'r
cate~~ry 410 - Residenti~l-rhi~~iori ill I i
III I!!I II
'ill "I Sfjarh'p Sink
! tFI~J~tsink ~
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, I' I Catclh. Basin
Wash Ftn
No 123705
Create Date 03/05/2007
Contractor M P KELLY
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Wait. St.
,
IGe Chest
Exam Sink
Sculry Sink
H~nd Sink
Plaster Sink
Surgeons Sink
FPrep Sink
Serv Sink
Ufin~1
ii: i i
Stimdp Rec
" I'
Ic~ II/Iaker
GI161 .
, ~r i ram
S?d~ Disp
II I I
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
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Dip Well
Drink Ftn
Use/Nature SFR /2ND FLOOR BATH REMODEL "check #8410
of Work
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$4,500.00
?JynlAJ
Plan Approval
Issued By
Size
Type
I,
I
I
II,
, '
Conn. Type
Material
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$0.00 I Permit Fees
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Parcel Id #
1414710000
Date 03/06/2007
I
In the performance of this work, I agree to perform all work pursuant! to rules governing th~ d~scribed q~nstruction.
While the City of Oshkosh has no authority to enforce easement re~trictions of which it ili not' a party, if you perform the work
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described in this permit application within an easement, the City strdngly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before sltarting such activity.: '
Signature Date
Agent/Owner!
Address 665 N MAIN ST OSHKOSH ! WI 54901- 4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Req~est line at 236-51128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access intd Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume th~ prOi,ecf,is ready'atthe time the request is received. Work may
continue if the inspection is not performed within two bpsine.;ss daVs from the time the project is ready.
City of Oshkosh
Inspection Services Diyision.
POBox 1130
Oshkosh, WI 54903-.1130
Phone: (920) 236-5050 .'
Fax: (920) 236-5084
~A!l 0 521107 .
~OjR
lOT E W^TEIl
Plumbing :Perl11~it,APpU(iation
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I hereby apply for. ape~t to doandmstallthe. f()ltowingplmn~m:$ on.'theJ'tetnises ,hereinafterdescclt1ed{tne :wotk.to conf()nn.t~ the
Wisco~inState PlumbhtgCode, in theperformanceof~hich all,partie~'het:eto..~eetQ and,llre'bouttd by said statute,s.
.' . . i' .:."..' .1'" . ;'." .
'. ." . . .1" ...... . .
. ApplicatiQn(s) and fee(s)'can be brought to City'Ha:1f~~~oorif'205' prtimileq tb' I:nspectionServic~s;PO'.Bo~1128,
.oshkosh WI 54903-1 t2S.. Commencing work witho~t'pel1)1it(s}willt'fsult.in fees be~g doubled,or $100.00 plus the
normalPetmit6~' which ever is greater. :. '. I.' .11, ." . .' . ~. - -
If vou .are. 0 c:ontractorTJorticiTJa tin!!. thtbe, Permit Fee Accoun,f:SvS:t.~:m and 'have ~deg.uaiefunds .,ch eck here
if~ou want this processed thraugh vo.ur account n' ", '11 ,. . ,.'" , . '. ,.
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JobAdd.... I 00 ~rW1 ~~ue J""m.'''1'.;....i,;.) . Jjll~/f~:
~ ::::rAN '/ie:i1-J._ Contr,J,to. ,.. ...:
DriQk Ptn Catch Basin
Whirlpool 'Dishwasher.. .~. Wail. St. Wash.Ptn
Lavatoryr -L- Sump Pump ~ Ice Chest . _ Urinal
Toilet -'-- EjectortGrind _ ,Exam Sink .._____ Gar Drain
Res. Sink WaterSoftner .:3-~\I~Sink ~SodaDi,sp
Bar Sink Local Waste .' ,14~~~~:',~ c-o~Maker
Water Heater Clothes Ws.hr ---'--'I';:F'Prepsttik ................IcIlMiik.er
OGasDEleetOPwrVrit B,i,det " Ct. S' k '. S...te."'"'a.l.n,
I ' ]' . ,':~erv. In ~. VI'
Shower -L...-BeerTap . _:. .:Ih~:qre.~s.eTra~,', '" .~.,RQOrprain
F!oorDrainGlassrmSinJ( 'I.' ',';~eQj;~se:~" '_ StanQP,Rec
LndryTraY,Surgecin$'Sink . , . r.Rj)~Z:VillV.~1 ~ .ByliWllshS~
Lab Sink Breakrn1'Sil'lk ----... "j '~na~$ink T-'-WtrSewet"Mtrs
Plaster Sink . DipW.e1l _ I,', ,,,,lHtlWs(Siqk:' .., ---- Dedil<;lMeters
~::: ~ . '. j ....'... ..1 .. ..1" .WlrUoageMtrn
----
Sahi~ Sewer
le-etHri..ln$:t~ll~~,~"'Venfi~ti~nrfnrm. att.3ched
ep'l"e.~irieJ\l) . . ". '.
, . Electric Contractor ..'
Use (Nature of Work I
. '~Cbrtn;:t~e:
;;(/
" . t .)StoI'Jn;Sew,-er:/:: .
.,WaUll\~:ervice .
4/05