HomeMy WebLinkAbout2007-Plumbing (laterals)
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OSHKOSH
ON THE WATER
Job Address 830 W 4TH AVE
CITY OF OSHKOSH No 124251
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GERMAINE KELLERMANN Create Date 04/16/2007
Plan
Contractor M P KELLY
Category 401 - Residential-Exterior (laterals)
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
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
". '- ....,.
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
~FR /1" copper relay water service.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service 1" Copper Lateral 1 Relay
Parcel Id #
0603430000
Valuation
Issued By
$3,100.00 Plan Approval
O/YX,/O
$0.00 Permit Fees
$50.00 D Permit Voided I
Date 04/16/2007
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
Address 665 N MAIN ST
OSHKOSH
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
Oshkosh, WI 54903-.1130
Phone: (920) 236-5050 .'
Fax: (920) 236-5084
Plumbing :Perl11~it,Applieati.ori
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I hereby apply for. a.permit to doandmst~llthefollowingplumbin:g OMhe"pteinises .hereinafter descntiJedithe .woikto comotmtothe
Wisconsin State PiumbiugCode, in thepeiformanceofwhfch all.parties'het:eto,.~~etQ and.are'bourtd bysai~statutes.
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. Application(s) and fee(s)can be brought to CityHall~,Roori1"~05' or'.nuiileq toInspection.Servic~s;POBo~'1128,.
Oshkosh WI 54903-1128.. Commencing work without:p~it(s}willresult'ln fees being doubled.or $100,00 plus the
nonnal pexmiHee, which ever is greater, . - -
OR. .' ". . ... ..'
If vouare ac.on.tractor particivating.thtne. Per.mit Fee Accoimt.Sv'SJem. and have. dd,equai.t!1unds ,.check here
irvou want this processed through VO.ilr acc:ount n '.' ,..,. .
JobAddre~s ~"50 . . Value (Includinglaborand~teri'1i!)',
ow~~A-J(\/f~'~E.l.Lv0~ctor '.
~illg1eFan'iiIY DDuplex DM'Pid;;'Family
N ul11ber iJfFixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o GasOElectO PwrVrit
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
mispo~al.
'Dishwasher
Sump Pump
Ejector/Grind
Water Softnet
Local Waste
Clothes W$hr
Eli.det
Beer Tap .
'C;laSsrmSinJC .
. SurgeOn~'.Sink
. BreakrqrSitlk
.. Dip \Veil
DrinkFtn
Wait.St.
Ice Chest
,EXam Sink
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~~~Sink. .
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:F'Prcp Sink: .'
'.' ,'Serv, Sink
:..riit\:~Ire~'Trap.... ..
.,';~tiQt~se '.trap"
ll-P.,iZ:Vatvc:
,SMmp\Sitik
}IHtlWs(Slrjk. ..
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. Fixtures
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.Dln'duS~J,:_;'-:o:__j;
Catch Basin
Wa~hFtn
Urinal
Gar Drain
.Soda J)i.sp
Cd~.Maker
, IG~ Milker
. Site Drain .
. 'Roo.fprain
. Staild)>, Rec
'.Eye'W.shStn
Wtr Sewer-' MtrS
pedut;.t Meters
WtrUsage Mtrs
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'. 'Electric Contractor. .
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.011.' .' .. ::Q~~c~i~,:IB~t~tl~ti~n.~'\ter1it~tiJ~)t(citm att~ched
. . .:(lrRep.\ae.~rriIl1Ll) , .
Use (Nature of Work.
.Siie
. type";# '. '~Cdtfil/ti.Pe..
Samt!1'Y Sewer
'.,. '~Stol'm;S'e'W"er:'i/'
"Wilter'i~ervi~e
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