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HomeMy WebLinkAbout0125560-Plumbing (abandon laterals) . 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 ... ! ... ... f . 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 ........."... ., ..... . '. . . ,.... .. . . . . . ,~. ; ,. . ...,. ,- ., " ... >....:.:'.."...,..:,:...:.: ..... " "... . '" ..', -.. . on. . .. ,i:""::>'. :' .. "." . ,,' .' ... '. ...... ,- ~.... . ,,- ," . , .' ., ," .".....,.., ..., . .. ":. ,".,".... '" '," ......, " .. ..-,.. ".': :'-:::':", .af.....:.:.ti-.: .. . . "'. , . .". ,"' . .' ...... . ',,'" ..... . .. - . __.'. ,:" R:- 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 y~ b..../ vr 0' ~6,,,, J 11/05