HomeMy WebLinkAbout2007-Plumbing (sump pump)
o
OSHKOSH
ON THE WATER
Job Address 1504 PIERCE AVE
CITY OF OSHKOSH No 124252
PLUMBING PERMIT-APPLICATION AND RECORD
Contractor M P KELLY
Owner EDMUND J WISLlNSKY Create Date 04/16/2007
Plan
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
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
DipWelJ
Drink Ftn
Category 410 - Residential-Interior
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / Replace sump pump. ,
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1603910000
Valuation
Issued By
$309.00 Plan Approval .
(/Ynvo
$0.00 Permit Fees
$25.00 0 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-.1;130"
Phone: (920) 236-505'0 .'
Fax: (920) 236-5084
"
.........:'..:.:.
.... ~
. "
. ", .'
~~!R
.; 0 EWIi ER
PI UR)'bhl9 :Perm.it.:l\ppUcation
I hereby apply for. a.pettnit to do~dii1st~llth(d'()lloWing'p1um.bfn:~ OMh~.:P!tfnises .hereinafter .desea11e~.:tli~::work.toconfotm:to the
Wisconsin .State PllJIDbii.lg: Code, in thepeiformance' of which all,parti~. her:e.t~..~e~.tQ and. are~bourtd by::saj~ stat,utes.
. .' ..,'. .
. APplicatiQn(s}andf~e(s)'can be brought'to City;H~lt~..~oo1'ii'205'or:'~iled t<>:'.Jnspection.S~c:es;:PO'.B'o~n28; .
.oshkosh WI 54903-112&.. 'Commencing work wiihout.'penpit(s).:willresult,m fees beu,.g doubled.or $100.00 plus the -
nonnalpermiHee, which ever is greater. . . . - -
~. .., .'. . . .
I~ ~ou(lre. a ,c~n.tractor .participating.lit.life. Per.mit Fee AacouliJ.:Sv'sle:m..ttn~b'dved.iJ.e<<,~a~'e'.fttnds.-.check here
i__'ouwant.th,s processed thro.u1!h. vo..ur ac~:ount n .... '. ., . .' .
Job Addre$s l CSo t.\ ~,~~"~':Y aI~e (Including labor ~d mltetr~~i:. .
Owner'~ W \~ \ IN~Contraetor
~gle:F.t1'(ilY . DDuplex DM;{llti;;'Fa~ily
Number i)fFixtures:
Bathtub
Whirlpool
Lavatorr
Toilet
Res. Sink
Bar Sink
Water Heater
o Oas.o. Elect 0 PwrVrit
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Mise.
. mispo~al,.
'Disl1Washer': "
SumpP.Ump
Ejeclor/Gritid.
Water SoRner
Local Was.e
Clothes W$hr
~idet. .
'Beer Tap .
(~lassrm-Sitl'J( .
'.Surg~cin~'.sink
Break!m'Sink .
. . Dip Well
..:...--.-
. - . I' ~. ~-':1
. . I .
-Date, ""t 2 ',~~lA~ '
;:\.
,;....~........'..
.' - .~ \ ::..~.
, I
DrinkFtn
Wait. SL
'. . }ce Chest
,Exam Sink
--"--
-.....-
, ..
"~-;OIndtts_: ;;~ :':." .
" .. L~s~~J~:~~:..___~i;
C~h B~~in
W~h"Ftn
Urinal
Gar Drain
Sodil Pi.sp: .
eo~ :rY.fakq
'Ic~.Milt(er
Silc'~ain .
'.R'QOrp~in
. S~tjiJP; Rcc. .
:ByC-WlJ$h ,Sm
. Wtr SC!wer'Mtrs
. P~duc;.t Meters
. 'W1r;t16ageMtrs
.~~
Fi.xtures'" '.
. Electric Contractor: .' -'. . . '. :','. ..O~":".. .:;~:l~~;'i~~D~~tl~~.~:,'\T.triii~~~:;(Qr,jlltttt~hed
userNatureofwork~~~) ..... ... ~J
. SiZe :,.Matetta(.'. .....ryPc.. ..;j.;..:.....:.: ::;.Cd~~;+~~:.;::. L\ 9--~
Sani~Sewer ~, . '.. ,... ". '.: . . ,. \~ /7 /
',i';iStort:n:S'ew-:er:/... '. ....... . ". . ..:' 0:7.
. .' , .... . j' . .'" .'. .'. '. . ." .q'.
;,,'" ';;. :.:.'
:.,Water-'is:ervi~e: .. ..," '., ../;".:' .,-. '-,.' ,
----
:-t~4,YSink . ':. ~
a""" .'
" . . !1!\~~<' .:.' .--...........:...
::::' .' >
. - . : . -, ~'nr.ease. Tmp'. :' >:" . ,: .
,..."'='.... ......~
. '..:" ...~~se;t~p:.-:..:_...'.:~
. )t:p.iZ.:,Valv.e:- . .~. .
.', :,ananip':Siak. ~
., .: ,;i'lilt/.W.sfSiqli '.. .;;......--.-
-'
~..
------
"0 "
. . ~
. . . '. ~ ~.
. ~. .' . . .
'.'
4/05