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HomeMy WebLinkAbout0123726-Plumbing (backflow preventer) ~. OSHKOSH ON THE WATER Job Address 1101 CEAPE AVE CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner MARK A/THERESE M BURAZIN Contractor O'NEILL ENTERPRISES INC Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work Category 410 - Residential-Interior No 123726 Create Date 03/07/2007 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs ~FR/ Install backflow preventer on boiler system. **DEBIT ACCT**. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 0805060000 Valuation Issued By Shower Water Softner Wait. St. Shamp Sink Floor Drain Local Waste Ice Chest FlrlWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin Disposal Bidet Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal Sump Pump Lab Sink Plaster Sink Standp Rec Classrm Sink Sterilizer Surgeons Sink Ice Maker BreakrmSink Dip Well F Prep Sink Gar Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp vacuum breaker $50.00 Plan Approval ~4 $25.00 D Permit Voided I Date 03/07/2007 $0.00 Permit Fees 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 AgenUOwner Address 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 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. ~3/07/~007 08,18 FAX 19202302008 ONEILL ENTERPRISES I4J 0011001 City of Oshkosh Inspection Services Division POBox 1130 Oshkosh,VVI54903-1130 Phone: (920)236.5050 Fax: (920) 236.5084 Plumbing Permit Application I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plwnbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. . Application(s) and feees) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,' Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the nonnaJ permit fee, which ever .is greater. . OR are co r ct r artic' t'n in the Permi 'W nt this rocessed throu h our account Job Address j I tJ J ~ell{JfJ~ Ii lfifb Owner M/lr g~ J ere.ce. ~ingle Family DDuplex , ~6 trO Value (Including laborand materials) 0, I Contractor OJ J..!.eii2 Date$7r D1 DMuIti-Family DRental DCommercial Dlndustrial Number of Fixtures: Disposal Drillk Ftn Catch Basin Dishwasher Wait. St. , Wash Ftn Sump Pump Ice Chest Urinal Ejector/Grind &am Sink Gar DraiD Water Softner Scull)' Sfnk Soda Dlsp Local Waste Hand Sink: Coffee Maker Clothes Wshr F Prep Sink Comzn. loe Maker Bidet SelV Sink Site Drain Beer Tap , Int Grease Trap Roof Drain Classrm Sink Ext Grease Trap Scandp Roc Sur&cons Sink R.P.Z. Valve Eye Wash Sin Br~ Sink Shamp Sink Wtr Sewer MtrlI Dip Well Flr/WstSink DedactMeters ::~izer Ivacy;;J;i;;fU~(~ ~J WtrUsageMm . ~::iC Contracto;~ -.. -Y?~!2l!:. DElectric Installation Verification form attached (If Replacement) Bathtub Whirlpool LavatOI)' Toilet Res. Sink Bar Sink Water Heater . _ o Gas 0 EJect 0 PwrVnt Shower Floor Drain Lndry Tray Lab Sink Plaster Sink Use (Nature of Work Material Type # Conn. Type "1?-lt .~ \?--1:J Size Sanitaty Sewer' Stann Sewer Water Service 11105