HomeMy WebLinkAbout0127622-Plumbing (abandon sewer)
.
O~HKOSH
ON THE WATER
Job Address 203 JACKSON ST
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
127622
Owner CITY OF OSHKOSH REDEVELOPMENT AUTH( Create Date 11/0212007
Plan
$200.00 Plan Approval
$0.00 Permit Fees
$0.00 D Permit Voided I
Category 401 - Residential-Exterior (laterals)
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Abandon sanitary sewer.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0102860000
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
EjectorlGrind Drink Ftn Serv Sink Soda Disp
Date 11/02/2007
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 MAl N 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 (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 Services Division
POBox 1130 .
Oshkosh, WI 54903-1130
Phone: (920) 236~50$0
Fax:.(g20) 236~5084
@...
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Q7HKOfH
. \' ON THe WATER
Plumbing.Perm.it.,Applica'tion
I hereby apply for a permit to do and install the fol1owingplumbfug on thepre11lises hereinafter described, the work to"coI(';QJ;lI)..lo the
Wisconsin State Plumbing Code, in thepetfQrmanceofwhich allparties'heretoagr.ee to and are bound by said statUte.s.
. .
. Application(s) and fee(s) can be brought'to CityIIall,Roorh.205Qrmaile<:lto.)bspeotionServices, PO BoxH28,
Oshkosh WI 54903-1128. Commencing work with01.itpem1it(s)Wil1f:~&ulfii1 fees bein,gdoul?le<:lor $100 .00 plu~th~
normal permitfee, which ever is greater" . . .
00 .... ......... .~
If vouare a contractor particivatinft.i-n'tlie 'Permit F:.ee '4ci:oun.t:'Svslem a:ndhave adequate futlds. check here
{ 'ou want this rocessed throu ho;ur account . .
Job Address C:<O...9 ;;a~O '
Owner (} JtJ fj)" (}::{lC-- Contractor
OSingle Family f upiex DMWJ;ti-F~~.IY
Nu.mber of Fixtures:
---'--0-
Catch Basin
WashFtn
Urinal
Gar Drain
Soda D.isp
Coff~ Maker
Ice Maker
Site Drain
.RQO,fDrain
,.Sbitri!p: ReI;
. 'EyeW~sh'Stn
WtrSewer.Mtrs
.'.n~d.tl.c;t:Meters
'~ttmsageMtrs
',1;
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas.DElect 0 PwrVnt
Shower
Floor Drain
Lndry Tray,
Lab Sink .
~
DrinkFtn
Wait.St.
..", .' Ice Chest
;Exam Sink
~~~l7Sink
fl~rWr:\~}~lf'" .
,F Prep'Sluk
,Sel'VSiok
"lll~qf~a.~e't.rap .
jBxt:~ase :l'tap.
. .'R;PiZ:Valv.e
.~liilmp':Sink
ililrlyls(SiT!k.
.~
Plaster Sink'
Sterilizer
Misc.
',.
".
:Di~posal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
LocafWaste
Clothes Wshr
Bidet
Beer Tap
GJassim-8ink
.sUrgeons .Sink
Breakrm'Sitik
Dip Well
'~
~
~
...:.----.
. Fixtures
Electric Contractor
: .~ .
" .OR .[JElectric"InstaJlation Verificati~n~fol1m attached
t . (It~Pla~ement)' .
Use/Nature of Work , ~ ~s;.~~
".:'
Size
Material
TyPe.
Sanitary Sewer
. ,iiSt(}rrnBow.er.
. "
. Water$ervice
4/05
CITY HALL
.' 215 Church Avenue
P.O. Box 1130
Oshkosh, Wisconsin
54903-1130 City of Oshkosh
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OJHKOfH
CITY OF OSHKOSH WATER DISTRIBUTION CENTER
DISCONTINUED SERVICE FROM WATER MAIN
DATE ADDRESS WORKERS
10/8/2007 203 Jackson St (on Pearl) jk, kn, ps, jp
TYPE SIZE MEASUREMENTS
LEAD
COPPER 3/4" Jackson S1. 107' W of W - Pearl Ave. 6' S of N
IRON
REMARKS: Dug & cut 3/4" copper service off main - no parts
Permit #20075162 - concrete street
Jack Reichenberger - Superintendent
Water Distribution Center
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