HomeMy WebLinkAbout0125296-Plumbing (water closet)
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OSHKOSH
ON THE WATER
Job Address 2633 W 9TH AVE
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
CITY OF OSHKOSH
No
125296
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner SUSAN C CHOLEWINSKI Create Date 06/12/2007
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
Replace water closet.
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Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1311960200
$635.00
$0.00
$25.00 D Permit Voided j
Plan Approval
Permit Fees
Date 06/12/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
OSHKOSH
Address 665 N MAIN ST
WI 54901 - 4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh . .
Inspection Services Diyision
POBox 1130
Oshkosh, WI 54903-.1;130'
Phone: (920) 236-5650 :
Fax: (920) 236-5084
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9lB~~tB
Plumbi:ng :Perm~it,::Ap.pl:i~i:oli
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I hereby. apply for. a.pe~t to do~d .fust~l1the.following.plmnbiD:$ on;th~::pf~~ses .hereinafter aes~n't1ed;.:thejvof.k.otoconiotm~the
Wiscons.inState Pllmtbii.1g.Code, in the .performanoe of which all.parti~. b~~,~~~.tQ and'.are~bourtd by.:siiid statute.s.
. . .-.... .
. Apt>licatiQn(s)a.tld.fee(s)'can b~ broughito City':aall~..~oorn'205'Qt'n;mle4 ib:'Jnspection.g~c:eg;:Po.'Ilo~'1128;.'
.oshkosh WI S4903-1t2'8.Commencing. work wiihout'pem:tit(s):willresulHit fees beu,.g doubled.or $.}OO,O() plus the -
normal permitfee, which ever is greater.. . . ~. -
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1~ ;ouare. a.c.~n.tra.ctoT ."artici"ati1ig.ih..tj;'~ Per-mit Fee Account :S~"Sie:m..an.d ".ave Ad.ef.u.a~"e..t:unds,..c:heck here
i_ _'ouwant-thrs "Toceased (hro.u!!h. v~.ur ac~ount n . .' ". . . . .' .
Nlunber of Fixtures:
Bathtub
Whirlpool
Lavatol")'
Toilet
Res. Sink
Bar Sink
Water Heater
o Gaso- E1cetD PwrVrit
. ~Dispo~al.. .....
"'Disl1washer' .'
. Sump "P:i1mp
Ejector/Grind.
Water Softncr.
Local Waste
Clothes W$hr
~i.det .'
Beer Tap
'C;lassrm'~inJ( .
'.Surg~6n~'.sink
BreakmrSiI'lk'
. . DipW-e11
--L-
----..
Showc:r
Floor Drain
lndty Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
. Fixtures
..:--.,....
'Electric Contractor ':
Use t.Nature ofWtlrk..
. SiZe
Slfui~ Sewer'
". i 'iBtorm;S'ewer;,;'~" . .
:\Vateri~erVi~e .
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Drink Ftn . --'-- ~h B~siti
Wait. St. ___ Wa~h'Ftn
Ice Chest . ~ Urinal
.EXam Sink . ~ GarDrain .
::3fl\*"ySink. :" .,. ...........--Sod~J)i.sp..
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.' ":";,ril~,:q,:e.ase-Trap . .' >:: ,,: :,. RQOfDran
.~ ,': ,.:.:. :...:;~i~~:se~rra~'.'.".:'",:.:::,<": . .....S~~~R~.
~ '.' ':It.p.!Z:.,ValY.e ". < ..' ~.:ItyC'W.~h,S\n
~'.ana~':Sink. ~ .Wtr St!wer.MtrS
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~ ----. .' D.~du((t Meters
. .. . .. . ,. .' ;. 'Wk'-Osage Mtrs
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,.f .'. .O~.; ": :.J]~~c'i~)B~~II~o.~.{~teiifi~~pnJfctml att~hed
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