HomeMy WebLinkAbout0124250-Plumbing (lavatory)
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OSHKOSH
ON THE WATER
Job Address 1742 ARIZONA ST
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR 1 Replace pedestal lavatory.
of Work
Contractor M P KELLY
Valuation
CITY OF OSHKOSH
PLUMBING PERMIT - APPLlCATldN AND RECORD
124250
No
Shower
Floor Drain
Owner JANICE M VOSS Create Date 04/16/2007
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
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1403850000
$544.97 Plan Approval
$25.00 D Permit Voided I
$0.00 Permit Fees
Issued By
~
Date 04/16/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application witihin an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 665 N MAIN ST
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh .
Inspection Services Diyillion.
POBox 1130
Oshkosh, WI 54903-.1:130..
Phone: (920) 236-565"0 ..
Fax: (920) 236-5084
"
Plumbing :Perrntt.~Appl1eatiori
.
~Qt8
I hereby apply for, a.pe~t to do .~dii1St~ll.the .folloWing'pbnnbiil$ on'~:~t~~ses .herein,after des~.~.:th~,'Woik.toconfotm:to the
Wiscorudn :State Pl~bing:Code, in theperforman(:e of which all,partie~' h~t~..~.~tQ and'.are;bourtd by;saj~ statute.s.
. '. . .' .' .... .' . .
. Application(s} and r~e(s)' can b~ brought'to CityJI~lt.,~oom:"205' ()r."~ai1e4 tt,.',Jnspection.Servic:es;:Po. 'B'oit:.l128;.
.oshkosh WI 54903;..lt2S.. .Commencing W()rkwithout'p~it(s):willtes.ult,.iit fees be~g doubled.~r $100.00 plus the -
normal .p~t-fee, which ever is greater.. . ~. -
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If vouare. aeon.tractor -participatint.i.tiili'e Per.mit Fee Account :Sv'sie.m..andluiveailpq,u.at-e',lunds...check hf!re
if ~ou' want this processed throuf!h,.v~.ur ac~oimt n .,....... . ... ". .... .
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JobAddre~s .\1L4Z A-L1'eofip/'.
OW~ ':::JA,..} V~Con.tractor
!\JSin..gle:Fllnilly DDuplex DM_i~F<<l1lily
Number olFixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink ---'-.
Water Heater ---'-
o aas-DElectOP.wrVrit
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
miSpo~al..
".Disnwasher' ..
. SumpPilmp
Ejector/Grind.
Water Softner
Local Waste.
Clothes W$hr
~i.det .'
Beer Tap .
'GlaSsrrn-Sin:k :
',Surg~ni.sink
Breakml'Si1'lk .
. 'Dip Well
.:--
Misc.
. Fixtures
. "
.. . Electric Contractor
oj
Use tNature of Work ..
Sifui~ Sewer
"f"~St6qn;Se~r;/:" ,',
.. .,Vlater,,~erVi~e :
. SiZe .,.M~tettat '
.,
'~. .
, .
.. ',",
.; ." .....
A
"'1'
..~'.-
"'.,.... . '.
,..' ... '
....-...
.,
Drink Ftn
Wait.S!.
Ice Chest
,EXam Sink
.~
--..---
-'--
.~
.;tW$ink . ", '. ____
:,'.' .a,~~~'.;:.:<:,": .:~~'
_ .,', .:F'Pres,Sli'ik"''' :.... ,'~..
'. .~.<:i"Ei;:;,?". .......
~ . . . )t.p.,iZ:.Valv.e....' '~.'
_ :.~tamp':siak...., _
______ '.... ' :. .}IittlWsfSll!k. ____
. ~.;OIndtis..i.~:' ,::~";"..::
.' L~~:~~I:._~:.._,_~~~;
Catch B~in
,
Wa~h'-Ftn
Urinl\1
GarDrain .
. Sod~ J)i.sp. .
Co~:M.ake.r
"e~.Mi~
. . Site '[)rain .
. 'R~.f.pi:a.n
S~t\dp', Rcc.
..' ''BY.c'W.sh,S~n
. Wtr SC!we.t'MtrS
P~il~t Meters
. 'Wtr:(Jsage Mtrs
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f!i!:' :. :'::~l~e;ri~:~n~~~~~.~,,"\t~riii~~~n;(6.r.m att!,ched
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4/05