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HomeMy WebLinkAbout0127412-Plumbing (abandon laterals) o OSHKOSH ON THE Wf~TER Job Address 1815 TAFT AVE PLUMBING PERMIT - APPLICATION AND RECORD CITY OF OSHKOSH No 127412 Owner DUMKE & ASSOCIATES LLC Create Date 10/23/2007 Plan Contractor O'NEILL ENTERPRISES INC Category 430 - Industrial-Exterior (laterals) 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 ~bandon existing 4" water lateral and 4" sanitary sewer. of Work Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Type # Conn. Type I i Sanitary Sewer Storm Sewer Water Service Valuation $1,200.00 $0.00 $25.00 D Permit Voided I Parcelld # 1608700901 Permit Fees Plan Approval Issued By Date 10/23/2007 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Address 522 W 6TH AVE AgenUOwner OSHKOSH WI 54902 - 5916 Telephone Number 920-230-2007 Date To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. 10/22/2007 15:24 FAX 19202302008 ONEILL ENTERPRISES 14I 0021002 .' . City Qf Oshkosh InspectioR Sorvices Division POBox U30 oShkosh, WI 54903-1130 Phone: (970) 236.5050 FlU': ,(!}20) 236.S0~4 Plum~,i.ng PerfR'it.A,.Uoa.tion . ' Ihereby ap,ly for a Permit to do and ~l the follow~g pJUt1lb4liop the p~mises '~orcinafter ~c!IQribcd, ~ W9dtto QO~form.~ tb~ . WisQOn,~ State PI\lD1bmg Code,1n the perfonnan~.Qrwhieh llll partips heretO agree t() tNld 4lllb(l'uittby.afd-stDtU~. , . Application(s) ~d fee(s) can be brought to City HalJ,Room 2.05 01': mailed to InspectioIl Service&~POBoxJ12$: ", Oshkosh WI 5490J-1128. COZ'llmencing work without pennit(s) MIl result in feesb~~gdoubl~ or$lO.o.-.Q().:plt1$,the : normalpennit fee, which ever is greater. . . , . . '. . ~ ' 1r~:::~n: thj:~~~:=::.~r:i~~~~n:;,~~~:~::;~' Accgun~ SV8t~..and ~au adequateefu~(i",.ffh~(i~,*,.. . . Job Mdress 1/5 IS 'icf+ A v<e- . Value ("""j..''''''"" r!f ~ a. 0 o. tJ/). ).)aw ,j O-a'J..' ~ Owner f) Jfll ft;.e 'f (tJ..d I Contractor. . (J ; 1lJ-l1. / J G 171lA~ . . . . DS~e Family DDuplex DMulti.FamiJyDRe~tal ~om~erCial Dlndu,tJ;al Number of'Fixtu~s; --- Drink Pm Walt.St. 100 Chest Bxam :$lnk , Sculry Sink ' HBIld Sink ' P Prep Sink SGJY Sink Int Grease Trap Ex! Greaso 'limp R.P oZ. Valve. Shamp SIIlIe . P1tlWst Sink' -- Catch 'Bwn WIIShPtn UrlnaI Gllr Dr$n SodaDIsp CQ.troo MIkct Comm. (GO Makor SUo Dnlin ' Roof Dndn Standp Reo Byo Was!! 8tn . Wtr SOWDI' .MtrI ~Me1etI Wtr USlIP MtrI ~ Bathtub ' Whirlpool LoV!llOry Tollo! Res. Sink . Bar Sink Water Hoator _ O. au 0 B1ecl 0 PwrVnt ~ Olspoaal Dishwasher Sump Pump BJectOr/Orind Wlltot Softner Local Wuto Clothes Wahr Bitlot B"r Tap Classrm Sink Surgeons Sink Breokrm Sink DipWolI HOllO Bibs .....-- ~ . i ----- .- SbQvm' Floor Dmin Lndry Tray Lab Sink PhlSler Sink SteriIizci- Misc. . _ Fixtures Electric Contractor ~ ------ ,-' OR DElectric In,staU~tjon Verification form 1i<<a.'chOd . (Jr~placemont) , Ctlp..ey,ttJ7Ut1 4-" uJatvz rrn-W ~ '1Jl~~ Use I Nature or Work , Siu Material Type '# Conn. Type . Sanilal'y Sewer' Storm Sewer Wat" ~orVice Ul0'5 ~10/19/2007 15:27 FAX 19202302008 City of Os'hkosh Inspection Services Division P O"Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 ONEILL ENTERPRI ~ 001/001 ........ o' .......,. ". - .. . ,.... . ... M' . . ','- ,,' , ';- ;.(' ':-. " , .. . :- ':' ::--:>:' '.- :." .............,...,.,.,. ..' .... . " .. ,.... ... .". .'." -.. ... "_," ., 0" ..... .... .... ,. ,".".... .. . . . ,;. . .~. ,",' . ... ,,", ," ... .. .. .. .," . . " ..., ... . .... .......,' ~ ,.... . .... ...,. ..... . . ',' '.'." ... : " ~, : : .:'" : . ,... '. . . '..:. . . . ..: ," : . . .' . ': . . .. .. ...~ .... . ",....'1,...... '.,' Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to confonn to the Wisconsin State Plumbing Code, in the perfonnance 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 without permit(s) will result in fees being doubled or $100.00 plus the normal pennit fee, which ever is greater. OR If yOU are a contractor participating in the Permit Fee Account System and have adequate funds. check here if yOU want this Drocessed through your account n ** Advisory - For applicable projects, an Electrical Installation Verifi.cation (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications Slibmitted without an EIV when such is required, will Bot be processed for Permit Issuance and will b.e returned for completion. ~I 1~ I~ ---afJ.f<,I/1Ve. ()C>() ~ 'O-jCj.tJ?- Job Address () ~ / ~ . Value (Including labor and materials) J .. . Date P . Owner iJl.,n,te~.t.tlM1. Contractor (10~1 Mff'/pr/~///}c. DSingle Family DDuplex DMulti-Family DRental. ~ommercial Dlndnstrial Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher Wait.St Wash Ftn LavatOlY Sump Pump lee Chest Urinal Toilet Ejector/Grind Exam Sink Gar Drain Res. Sink Water Softner Scully Sink Soda Disp Bar Sink Local Waste Hand Sink Coffee Maker '- Water Heater Clothes Wshr F Prep Sink Comm. Ice Maker o Gas 0 Elect 0 PwrVnt Bidet Serv Sink Site Drain Shower Beer Tap Int Grease Trap Roof Drain Floor Drain Classrm Sink. Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P.Z. Valve Eye Wash Sm Lab Sink Breakrm Sink Shamp Sink Wtr Sewer Mtrs Plaster Sink Dip Well FlrM'st Sink. Deduct Meters Sterilizer Hose Bibs Wtr Usage Mtrs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use I Nature of Work (1/7 p J(Xll ff//) -1 Wa& Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 07/07