HomeMy WebLinkAbout0126521-Plumbing (lavatory)
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OSHKOSH
ON THE WATER
Job Address 1275 W SMITH AVE
CITY OF OSHKOSH No 126521
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MR/MRS THOMAS R PECH JR Create Date 08/29/2007
Plan
Contractor M P KELLY
Category 410 - Residential-I nterior
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature SFR 1 REPLACE LAVATORY ..check #8772
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation nrD547.00
Issued By, S
$0.00
$25.00 0 Permit Voided I
Plan Approval
Permit Fees
Parcelld #
1218080000
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
Address 665 N MAIN ST
Agent/Owner
OSHKOSH
WI 54901 - 4431 Telephone Number 231-1750
Date
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: (9.20) 236-5084
RECEIVED
AUG 2 8 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
PlumbingPerrnifApplication
@..
~
OfHKOfH
. ,. ON THl; WATER
1 hereby apply for a permit to do and install the followingplumbmg on theprenrises hereinafter described, the work to con(ornVto the
Wisconsin State Plumbing Code, in theperfonnance of which all parties hereto agree tQ and are bound by said statutes.
. ..
· Application(s) and fee(s) can be brought'to City Hall, Rool11205<otmailedtOInspectionServices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpennit(s)willres,uLtin feesbeingdoul:>ledor $1 00.00 plu~the
nonnal penniHee, which ever is greater. .
OR
I ()uare a contractor artici atininlhePermiiFeeAccounJSsiemandhaveade
ifvou want this processed throughVo.ur accountn .
Job AddresC IJ.~
Owner ~ Contractor
~gle Family ODuplex OM..ItI-Fmmly
.--/'
/
check here
Date ~ /~Ilo?
Number of Fixtures:
I3athtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water lIeater
o Gasn Elect 0 PwrVttt
Di,sposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
ClassrmSink
Surgeons Sink
BreakrmSink
Dip Well
-!-
~
DrinkFtn
Wai!.S!.
Ice Ch(:st
,Exam Sink
~
,$R~!t:Y Sink
a~~~~j~~
,F PrepSirik
ServSlrik
IttH~Tea~eTrap .
;EXl\Qi;ease'Trap.
KP,Z;Wlye
~hamp:S1nk
::FlrlWstSink
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
,', .
-'--
~
.~
.~
~
~,
Electric Contractor
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Rec
EyeWa!ihStn
Wtr Sewer'Mtrs
DetluctMeters
'WttJJsage Mtrs
Olt
-
. ... . ....... .....'..'.....,., ,"
OElectric,Inst~lIation '. Verificati(}.D ,. form attached
. . . (It,Repla(<(:ment) ..
Sanitary Sewer
Use I Nature of Work
Type
>"Corin;:Type . ,
., iStormSewer
"",
WaterService
q;,r~
4/05