HomeMy WebLinkAbout0128176-Plumbing (pressure washer)
o
OSHKOSH
ONTHE WATER
Job Address 3434 JACKSON ST
Contractor O'NEILL ENTERPRISES INC
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 128176
Owner SALOMON PROPERTIES LLC Create Date 12/17/2007
Plan
Category 450 - Industrial-Other
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrJWst 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
Mis~. Pressure washer
Fixtures
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Install new pressure washer with internal air gap for SF protection.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1519603900
Use/Nature
of Work
Valuation
$500.00
$0.00
$25.00 D Permit Voided I
Plan Approval
Permit Fees
Issued By
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 522 W 6TH AVE
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
Date 12/17/2007
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.
..12/14/2007 12 '17 FAX 19202302008 ONEILL ENTERPRISES
.u (jjttntl1>>u : ~tu&l!f
::: ~ity ofOshkosh
::: I" Inspection SelVices Division
POBox 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
I4J 0011001
(f)
~H
ONT .......
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 pennit(s) will result in fees being doubled or $100.00 plus the normal perni.it fee, which
ever is greater.
OR
I
** Advisory - For applicable projects, an Electrical Installation Verification (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 submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. .t/;
Job Address 'ff/j)!;f~ Value (1'"00'" .b" i~' ri~') 3iJD, tJiJ
Owner ~ Contractor
DSh~gIe Family DDuplex DMulti-Family . IRental ~commercial
Date /JJ/J./ tR
Number of Fixtures:
Batbtub Disposal Drink Ftn Catch Basin
Whirlpool Dishwasher Wail. SI. Wash Ftn
Lavatory Sump Pump lee Chest Urinal
Toilet Ejector/Grind Exam Sink Gar Druin
Res, Sink Water Softner Sculry Sink Soda Disp
Bar Sink Local Waste Hand Sink Coffee Maker
Water Heater Clothes Wshr F Prep Sink Comm, lee Maker
o Gas [1 Eject 0 PwrVnt Bidet Serv Sink Site Druin
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classntl Sink ElIOt Grease Trap Standp Rec
Lndry Tray Surgeons Sink RP.Z: Valve Eye Wash Stn
Lab Sink Breaknn Sink Shamp Sink Wtr Sewer Mtrs
. Plaster Sink Dip Well FlrlWst Sink Deduct Meters
Steril izer Hose Bibs Wtr Usage Mtrs
Mise,
L~UJ~
Electric Contractor (for projects not requiring an EIV Form)
Use I Nature of Work. ~W.1 ~Juu
Size Material Type
Fixtures
~hA.J
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water SelVice
07/07