HomeMy WebLinkAbout0123887-Plumbing (rehab)
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OSAKOSH
ON THE WATER
Job Address 548 MADISON ST
Contractor KEITH PETERSEN PLUMBING
CITY OF OSHKOSH
No
123887
PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
2 Outside silcock
Owner PHYLLIS M WATTERS Create Date 12/04/2006
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
City rehab project. Install new code compliant silcocks, install vacuum breakers on hose bibbs in basement, remove water softener and
~oftener connections, remove 3/8" copper water distribution line hanging near furnace, install plug in main buildingfloor cleanout, install
hammer arrestors at clothes washer water connection, replace p-trap serving second floor lavatory, remove drum-trap at second floor bathtub
if still in place and install new kitchen sink with faucet.
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0402830000
$28.00 0 Permit Voided I
$2,500.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By
Date 03/22/2007
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 and to s cure any ne ary ovals before starting such activity.
Date .:3 -7 '2. -a7
Signature
Address 1600 HAMILTON CT
LITTLE CHUTE
WI 54140 - 2534 Telephone Number
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 0shkosh
Inspection Services Division
PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatinf! in the Permit Fee Account System and have adequate funds. check here
if you want this processed throuf!h your account n
Job Address ,,~% (Y) A.D\S,t~ VaIUe(InCIUdinglabOrandmaterialt~OO, ~ Date 3-2'2.-er-.
Owner '~\"\U.. \~ ~=~V>o:-\\l4~ Contractor ~-,-\-l ~~<.....) tt(P ~.L
0Single Family DDuplex DMulti-Family DRental DCommercial DIndustrial
Number of Fixtures:
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 P\vTVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Electric Contractor
OR
DElectric Installation Verification f~rm attached
(If Replacement)
Use [Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
11/05