HomeMy WebLinkAbout0125560-Plumbing (abandon laterals)
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OS~KOSH
ON THE WATER
Job Address 601 W 6TH AVE
CITY OF OSHKOSH
No
125560
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner MARK W SHOWERS Create Date 06/28/2007
Category 401 - Residential-Exterior (laterals) 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
Contractor O'NEILL ENTERPRISES INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Size
Material
Conn. Type
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0601910000
$1,500.00
$0.00
$25.00 0 Permit Voided I
Permit Fees
Plan Approval
Date 06/28/2007
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 522 W 6TH AVE
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
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.
:-:06/27/2007
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14: 16 FAX
19202302008
City of Oshkosh
Inspection Services Division
POBoxl130
Oshkosh, WI 54903-1130
Phone: (920) 236~5050
Fax: (920) 236-5084
ONEILL ENTERPRISES
I4J 001/001
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Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes,
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Perm' ee Account S stem and have ade
ou want this rocessed throu h our account
Job Address bol h+h. f}vpf}U~
Slap sh~
DSingle Family DDuplex OMulti-Family
Owner
Number of Fixtures:
Bathtub
Whirlpool
LavatoI)'
Toilet
Res, Sink
Bar Sink
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrrn Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndly Tray
Lab Sink
Plaster Sink
Stenl izer
Misc.
Fixtures
&p 'it aa/1A. ~
Electric Contractor
Use I Nature of Work
Size
Material
Sanitary Sewer
Storm Sewer
~
Value (Including labor and materials) jf:IJo Date /0. a7- tJ1
O~i;jj 0rfMp1.1b#)JIUJ.
DRental DCommercial Dlndustrial
Contractor
Drinl::Ftn Catch Basin
Wait. St Wash Ptn
Ice Chest Urinal
Exam Sink Gar Drain
Scul ry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm, Ice Maker
Serv Sink Site Drain
]ot Grease Trap Roof Drain
Ext Grease Trap Standp Rec
RP,Z, Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
~
OR DElectric Installation Verification form attached
- (If Replacement)
Type
#
Conn. Type
Water Service
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11/05