HomeMy WebLinkAbout2007-Plumbing (toilet)
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OSHKOSH
ON THE WATER
Job Address 871 RIDGE LN
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR / REPLACE TOILET "check #8772
of Work
Contractor M P KELLY
CITY OF OSHKOSH
No
126527
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EUGENE M/CAROL J HARRAND REV TRUST Create Date 08/29/2007
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
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1519621400
Plan Approval
$0.00 Permit Fees
$25.00 D Permit Voided I
Valuation " $949.55
Issued By KY1 ~
~. nv
Date 08/29/2007
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 665 N MAIN ST
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
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
RECEIVED
AUG 2 8 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION.
~
OfHKOJ8
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 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 brought" to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpennit(s}will result in fees being doubled or $ 1 00.00 plu~the
nonnal pennit fee, which ever is greater;
OR
I ou are a contractor artici atin in tHe Permit Fee Accoun.tS stem and have ade
if vou want this processed through Vour accountn
~~
/
unds check here
JO. b. AddrC$s~-4t~............. ..'Value<lnclUdinglabor.""""...t.en.......a........)...... qLf9~ Date ~j,;7
Owner _ ~contractor ~p.,.Q~.~
mgle Family DDuplex DMlJ'lti.;.Family DRental .DCo ........ .er~ial Dlndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
I
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
,'~
Electric Contractor
Use / Nature of Work
Sanitary Sewer
:BtormSewer ..
. Water Service
. Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrin Sink
Surgeons Sink
BreakrmSink
DipWe1J
j
i
I
DrinkFtn
Wait.St.
Ice Chest
Exam Sink
~G\!!ry Sink
Hlln4,$i~~
F Prep Sink
ServSink
lntqrea~e Trap
ExtOJ:easeTrap
KP.Z.Valve
-Shamp Sink
FlrlWstSink
-'--.
Catch Basin
Wash FIn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye WaSh Stn
Wtr SewerMtrs
DedU(:t Meters
WtrJ)'sage Mtrs
.,', . ';-.:. . ". c.' . :-, _- _'. ' ,-.'.: " _ ,', ,,'_"." '.
,,7. :R..... [JE:~I.-.i...lns.taUationVerificatiPnform att~ched
~Plac ment)
~
Size
Material
Type
#
COIro. Type
/fc)U
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4/05