HomeMy WebLinkAbout0124245-Plumbing (sump pump)
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-OSHKOSH
ON THE WATER
Job Address 1125 EVANS ST
CITY OF OSHKOSH
No
124245
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DAVID A1MARCELLA M BEDORE LIFE ESTATE Create Date 04/16/2007
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
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
SFR / Replace sump pump.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1109650000
$539.91 Plan Approval
~
$25.00 0 Permit Voided I
$0.00 Permit Fees
Date 04/16/2007
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party. if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 665 N MAIN ST
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (I.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Diyision.
POBox 1130
Oshkosh, WI 54903-:1:130
Phone: (920) 236-5050 .
Fax: (920) 236-5084
. .
Plumbing :PerrnU,~A:ppUcati.on
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I hereby apply for. apetn;tit to dOM.diitst~l1therollowingplutnbin:$ onth~.:preinises .hereinafterdesca\iJeditb:eiworkto conf-otmt.-o the
Wisco~inState Plumbing' Code, in the performance of which all.partie~'h~t()..~e.~tQ and:are':bourtd by.saj~statute.s.
. Applicati<)n(s) and. fce(s)can be brought'to CityJlall,.~o()tii-'205 or"~ile4 to'InspectionServic:es;PO'.Bo~1128) .
Oshkosh WI 54903-1128.. Commencing work without'pe11l1it(s)will result ,iit fees bei1?g doubled.or $100.00 plus the
normal pern:Utfee, which ever is greater. . . --
OR
If vouarea.c{)ntractorlJarticilJatifzg.iht/i~ Per.mit Fee Aacouii,t.Svsieman.d htivea.de~uatef.unds....check here
if you want this processed thro-ug:h.vour acc:oimt n .'. -' '. .' .
JObAd~re~s \ \ ~ 5 . e.. \{A~ s .. :'
Owner :D A" 'b ~t...oo~Contractor
~gle'FanUIY DDuplex DM,,,l;tP.Fantily
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Oas-O BleetOPwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
:Dispo~al
'DishWasher
SumpPiJmp
Ejector/Grind
Water Sonner
Local Waste
Clothes W$hr
Eli~et
Beer Tap
'GlassnnSin.k
.Surg~cil1s'Sink
Breakmt'SiliY<
. 'DipWell
..:--..,-
Misc.
. FixtuRs
.~
.'/
-'--
---,----'-
.~
DrinkFtn
Wait.St.
Ice Chest
,Exam Sink..
.~lW1 Sink .
. .>>~~,~~~~i ..
. :F'prepS'itik .' :
..,.S~.Slnk
'. ;.'!D~,~:re~~e Trap:'.
..,?~xtlQ~se 'trap:..
;R;P,iZ.'Valv.e . .
.~hamp:sink.. . .'
.. . ,.:!'IIItAVs(Sitjk. ..,
~
.:':~
~..
'::.>"~.'
~
. . OR: . .'J:J~~ctri~;In~~il~,ti~n~\ter.me.~~~n>(o.'r.nt att~ch~d
." . '.' ...,(ItRep,lilc.emtljtl) . '.
f\~Ofr".' . .' ".
-." -." ---~.:
Material . tyPe ';#
'. . Electric Contractor ..:
Use lNature of Work
. SiZe
Samt!ry Sewcir
.- .. r .:fStol':tn:Se)"r.er:';"-' .
,Water,:Semce .
,'''"
.....
'!CdtUl:;t~e> ,...
. .,'." "
. ,.f
. ." .tL~---'~
. -Date,. ~:~:i(k~:'
.' ,; ,~;t,.:,._::~::.~'..;;f!!,:,'.:.::
:...,.,,;.';'>'
'-OIDdus._~' ;:~;.. It
~-~:--'_~I:... .~.:_,_.__'.~~
C;ttch Basin'
Wa~hFtn
Urinlll
Gar Drain
Sod!! bisp .
Co~:M.ak~
. Ic~ .Milker
Site Drain .
'.RQOrprain
Statiop Rec.
EyiiWl!shStn
Wtr Sewer,MtrS
pecUl<;.t Meters
. Wh-Osage Mtrs
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4/05