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Home My WebLink About0127040-Plumbing (toilet) e OSHKOSH ON THE WATER Job Address 527 MADISON ST Contractor M P KELLY CITY OF OSHKOSH No 127040 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner JOANNE E HESS Create Date 09/21/2007 Category 410 - Residential-Interior 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 Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures Use/Nature SFR / REPLACE TOILET ..check #8815 of Work I i I I I I I I I I ---- j Size Material Conn. Type Type # Sanitary Sewer Storm Sewer Water Service Parcelld # 0401470000 Valuation $754.00 Plan Approval __ $O.QQ Permit Fees__~25.00 0 Permit Voided I Issued By ~~ Date 10/02/2007 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 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 (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 Servi!:es Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920) 236~5084 REC I ED ~.." ~ DEPARTMENT OF 0/[:1 O' H . COMMUNITY DEVELOpMENT . .I<J if INSPECTION SERVICES DIVISION' " ON THE WATER SEP 2 1 2007 PlumbingPermitApplication 1 hereby apply for a permit to do and install the following plumbing on theprelilises hereinafter described, the worktocon(1;l:tn.)JO the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree tQ and are bound by ~aid statutes; . · App1ication(s) and fee(s) can he broughtto Cityl'!a:I1, R00l11205 Qrmailedt6fuspectionServices, PO Box 1128, Oshkosh WI 54903-1128. Commencing work withoutpennit(s)wilLresult.in feesbeingdotil)ledor $1 00.00 plu~the normal penniHee, which ever is greater. . OR '. ..... .... . .'. ..... ..... . . '.' If YOU are a contractor particivatinftinthe PermitFeeAccounISvsiemandhaveadequiztefunds. check here if YOU want this vrocessed throufthvo:ur account n. '. . ~" JC)b.Addre~s 5~-' rl'lAi)IS.oJ' Value (Includinglaborl\l1dmaterlills)' OWner ~o.L,~actor . ....':.. .Single Family DDuplex DMlljlti-Family Number of Fixtures: Bathtub Whirlpool Lavatory Toilet Res. Sink .Bar Sink Water Heater o GasDElect 0 PwrVnt =t= Shower Floor Drain Lndry Tray Lab Sink Plaster Sink' Sterilizer Misc. . Fixtures ~ ~, Electric Contractor Use I N afure of Work Sanitary Sewer iStormBewer ..' Water$ervice D.ate q -Lf=~7 : Disposal Dishwasher Sump Pump Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap ClassrmSink .SurgebnsSink Breakrm Sink Dip Well DrinkFtn Wait. St. Ice Chest ,Exam Sink Catch Basin Wash FIn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain R()OfDrain Stiinilj:i Rec ByeWa:shStn WtrSewer,Mtrs DeQuctMeters Wtt1',Jsage Mtrs ~ ,~~l!YSink ailn~1~!r~ F Prep Sink ...ServSink Int'qreas.el'rap ;.EXtiQte.as.e trap KPiZ.Villve ,S;hampSirtk "FlrlWstSink ~. 'eetri~ Installation Verification form att~ched (It Replace ent) 'eM Size.Material Type , t..' . 4/05