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HomeMy WebLinkAbout0125761-Plumbing e OSHKOSH ON THE WATER Job Address 100 STONEY BEACH RD 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 125761 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner JAN VISTE REV TRUST Create Date 07/1212007 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 SFR 1 Replace tub, toilet & lavon 1st floor. Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcel Id # 1414710000 $7,674.00 $0.00 $25.00 0 Permit Voided I Permit Fees Plan Approval ~,.o Date 07/12/2007 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 authorityto 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 WI 54901 - 4431 Telephone Number 231-1750 Address 665 N MAIN ST 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 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ~ OfHKOfH ONTHF. WATEr? PlumbingPerl1lit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conforrnto 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, Room205<ormailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work withoutpermit(s) will tesultinfeesbeing doubled or $100.00 plu~the normal perrnitfee, which ever is greater. OR If you are a contractor varticipatinginthe Permit Fee Accoun.t Svstemandhaveadequatefunds. check here ifvou want this processed through your account n Job Addre!!S /Ot) ~ ~~"di"""''''''d'''ori''') .Owyr ~d Vi~ Contractor 0'Single Family DDuplex DM.u..lti-Family Number of Fixtures: -L Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt t ~ Sterilizer Misc. Fixtures Electric Contractor Use I Nature of Work Sanitary Sewer .8torm.Sewer WaterService /' if~;kz Date 'I TlV.> Dlndustrial Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap ClassrmSink Surgeons .Sink BreakrmSink Dip Well DrinkFtn Wait.St. Ice Chest Exam Sink ~.!<illry Sink Haqg:?i!1~ F Prep Sink ServSink Jnrorease Trap ExtG~easeTrap R.P;Z. Valve -Shamp Sink F1r/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Rec Eye Wa:sh Stn Wtr Sewer Mtrs DeductMeters Wtr1:)sageMtrs . , " . '.-' DElectriclnstaJlati Verification form attached (If Repla<:ement) Material Type # ~.... . I\\P~ d'I Qrh \ 4/05