HomeMy WebLinkAbout0125622-Plumbing (lst flr remodel
G
OSHKOSH
ON THE WATER
Job Address 852 MCKINLEY ST
CITY OF OSHKOSH
No
125622
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner DISCOVERY PROPERTIES LLC Create Date 07/03/2007
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
Contractor WELLNITZ PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
1st floor bathroom and kitchen remodel.
Size Material Type # Conn. Type
Sanitary Sewer :
Storm Sewer
Water Service
Parcelld #
0504890000
$2,000.00
Plan Approval
$0.00
$28.00 0 Permit Voided I
Permit Fees
Date 07/03/2007
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 penmit applicant to contact the
easement holder(s) and to see any necessary approvals before starting such activity.
,
Signatur
1ro. '5- ~1
.
Date
Agent/Owner
APPLETON
WI 54913 - 7924 Telephone Number (0)231-7390
Address 4810 AMBERWOOD LN
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 Division
P'O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
. Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
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 ofwIDch 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) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I in the Permit Fee Account S
our account
Job Address :? S- c2 /0 ( ,.f" /.) [> I'J
---
f), . .s c ~tft.'/ '-1 Pro p(>/5
.--' /
. DSingle Family [41Duplex DMulti-Family
Owner
. Value (Including labor and materials) c20 0 6 Date/- -l ~ 0 /'
. ,
vJ p //"V; :/ 7, ? ~/4 .6.:---J'e;
-----
DRental DCommercial DIndustrial
Contractor
Number of Fixtures:
Bathtub -.-L
Whirlpool
Lavatory ---L-
Toilet I
Res. Sink -I-
Bar Sink
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Surgeons Sink
Breaknn Sink
Dip Well
Hose Bibs
DrinkFtn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. lee Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Electric Contractor
OR
DElectric Installation Verification form attached
(If Replacement)
Use / Nature of Work 8q';)"..-t:lo/'1
II P/1/1 c~./
,
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
11/05