HomeMy WebLinkAbout0125757-Plumbing (toilet)
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OSHKOSH
ON THE WATER
Job Address 926 STARBOARD CT
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
125757
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner RICHARD/SHIRLEY VERHOEVEN Create Date 07/12/2007
Category 410 - Residential-I nterior 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 / Replace toilet.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1523310000
$748.00 Plan Approval
~
$0.00
$25.00 0 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
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 (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
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (910) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on theprertrises hereinafter described, the work to confonnto 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 broughito City Hall, Room 205 or mailed to InspectionServices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpermit(s)will tesultin fees being doubled or $100.00 plu~the
normal permitfee, which ever is greater.
OR
If v()uare a contractor participating in the Permit Pee AccountSvstem and have adequate funds. check here
i(vou want this processed throughvour account n .
JOb.. A. ddr~~?{7v. ~.:twli"gl""'''d''''I<ri''''
Owner ~ _ __~tLe . tor .
DDuplex DM~lti-FaItlily
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
--L
Shower
Floor Drain
Lndiy Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor
Use I Nature of Work II
Sanitary Sewer
Storm Sewer
Water$ervice
/'
Date t?/r..l!oZ
!. /
Dlndustirial
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
BreakrmSink
Dip Well
DrinkFtn
Wait.St.
.. Ice Chest
Exam Sink
$pl!lry Sink
Ha\l.~;~i~~
F Prep Sink
Serv Sink
Intqrease Trap
ExtGrease Trap
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 $tn
Wtr Sewer Mtrs
DeductMeters
WtrUsage Mtrs
OElectrlclnstaUation Verificati()n form attached
(IfReplac~ent) ,
Colin.. Type
hf\
0V\
,;
Material
#
Type
4/05