HomeMy WebLinkAbout2007-Plumbing (disposal)
e
OSHKOSH
ON THE WATER
Job Address 3955 SUMMERVIEW DR
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
125759
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner PETER J/BETH A CULP Create Date 07/12/2007
Category 410 - Residential-Interior Plan
Water Sottner 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 / Replace disposal.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1528500000
$125.00 Plan Approval
~
$0.00
$25.00 D Permit Voided I
Permit Fees
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 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
AgenUOwner
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
ON THE WATER
Plumbing PerrnitApplication
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conformJo 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 workwithoutpermit(s}will tesultin fees being doubled or $100.00 plu~the
normal permiHee, which ever is greater.
~.
~ ,/
If vouare a contractor varticivatinginthe Permit Pee Account System and have adequate funds. check here
/f ~ou want this vrocessed through vour account n' ' . '
. \.!J^-
JO, b, A, ddre$d~~,.' '. ",iValue (l~t"d"gl'b,,"'d_'b)
Owne (/(. ~.','.contractor.
ingle Family DDuplex DMQ-.lti-FalPily
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
-'--
Sterilizer
Misc.
Fixtures
DrinkFtn
Wait.St.
, Ice Chest
.Exam Sink
s.~I!I1)' Sink
H#"4c~in~
F Prep Sink
Serv Sink
. Int qrease, Trap
EXlGJ:ease T.rap
R.p,Z.Valve
Shamp Sink
,flrlWstSink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
EyeWash Stn
Wtr SewerMtrs
Deduct .M:eters
\VtrJJsage Mtrs
[JElectrlc.lnstallation Verificati9nform attached
(If Replacement) -
Electric Contractor
OR
.12 u-9
Use I Nature of Work
Size
Sanitary Sewer
Storm Sewer
Water Service
Type
#
. Collll.Type
t:;CJ\.
0^
\1-
4/05