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Home My WebLink About0127049-Plumbing (sewer/water relay) e OSHKOSH ON THE WATER Job Address 19 E LINCOLN AVE Owner HOLLUB PROPERTIES LLC CITY OF OSHKOSH No 127049 PLUMBING PERMIT - APPLICATION AND RECORD Create Date 09/25/2007 Contractor M P KELLY Category 430 ~ Industrial-Ext~~rior (Ia~~_____ Plan .......-~--~--_.,------_._--- Shower Water Softner Wait. St. Shamp Sink Coffee Maker Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap Disposal Bidet Sculry Sink Wash Ftn RPZ Valve Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Ejector/Grind Drink Ftn Serv Sink Soda Disp Bathtu b Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature of Work SerenitypTace / Sewer &-water service relai- -- I I I I I .______1 Size Material Type Lateral # Conn. Type Relay Sanitary Sewer Storm Sewer Water Service Lateral Relay Parcelld # 1000550000 Valuation $5,300.00 Issued By ~3 Plan Approval ~~9cgQ Permit Fees $100.00 0 Permit Voided i _______~._~.________ _.___~._______.___.___.J Date 1 0/02/2007 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 2}1~17~50 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. SW2na&7 ~ DEPARTMENT OFj':!il.T OmV.OifH '(.QWMUNlTY DEVELOP~~~t . N . INSPECnON SERVICES DWfsl'6W, j' ON THE WATE/? City of Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-50$0 Fax: (920) 23~5084 Plumbing Perl11 it Application l \ I I \ I , 1 '1 1 \ ""\, ; i ~ l\ .;".", .,' ::-; " 1 hereby apply for a permit to do and install the following pJumbmg on the premises hereinafter described, the work tocon(Qtmto the Wisconsin State Plumbing Code, in the perfonnanceofwhich aU parties hereto agree to and are bound by said staMes. . Application(s) and fee(s) can be broughfto CityHall,Roorit205ormaiIedtofuspectionServices, PO Box 1128, Oshkosh WI 54903-1128. Commencing work withoutpermit(s )Willresultin fees being doubled Qr $100. 00 plu~ the normal permit fee, which ever is greater, '~ . ~ If vouare a contractor varticipating in the Permit Fee AccountSvsiem and have adequate funds. check here if you want this vrocessed through Vo,ur account n .. . . Jeh Address I CJ E. 61r1Vl Q Value (Jh,:mg """'..d....~."}c.55'OO .r:iJ pate ;/t~~j OWner ~SU.fu1/fry fJ/~~ntractor ~ni.L~ .. ...,' . .. OSlngle Family ODu)>le". p6(~-F"miIY O~ental OC9. ........-..~.. 'OIndns~ Electric Contractor OR '. .OEleetric,JnstaJl.ationVerificati9:D:'for.m attached IJSe/Natnreofwoif~ ()~~w~~ .. Size Material Type W'CQtln.Type Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o GasOElect 0 PwrVnt Shower Fioor Drain : Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Loca!'Waste Clothes Wshr Bidet Beer Tap Classon Sink SlIrgeonsSink BreakrmSillk Dip Well ~. ~ DrinkFtn Wait.St. Ice Chest ,Exam Sink . ,l):P.i!!ry Sink na~~\Si~~ F preJ;Shik . ServSink In,t'qr<:a~e Trap Ex~,Qi,easel'taP , KP,Z;:Val\'e ~hampSirtk rFlrlWsfSink Ltidry Tray Lab Sink Plaster Sink Sterilizer Misc. ~ Fixtures Sanitary Sewer ;;Storm Sewer.- Water Service Catch Basin Wash Ftn Urinal Gar Drain Soda D.isp Coffee Maker Ice Maker Site Drain Roof Drain' Stiilldp Rec Eye'Wa:sh'Stn Wtr Sewer'Mtrs ',Dtduct,'Meters WtrUsage Mtrs , j , ~ ' ~. J ooo~ 4j05