HomeMy WebLinkAbout0128223-Plumbing (toilet; water heater)
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OSHKOSH
ON THE WATER
Job Address 130 W 19TH AVE
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
No
128223
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
Owner MARY E JACKSON Create Date 12/19/2007
Category 411 - Residential-Water Heaters 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
SFR / REPLACE TOILET AND GAS WATER HEATER ..check #8965
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1401790000
$0.00
$25.00 0 Permit Voided i
Valuation $633.00 Plan Approval
Issued By ~
Permit Fees
Date 12/19/2007
In the perfonmance 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
OSHKOSH
Address 665 N MAIN ST
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 (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.
City of Oshkosh
Inspection Services Division
POBox 1130 .
Oshkosh, WI 54903-1130
Phone: (920) 236~5050
Fax: (920) 23~5084
Plumbing.PermitApoplication
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OJRKOfH
. I' ON THE WATER
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Ihereby apply for a permit to do and install the following plumbing on the.premises hereinafter described, the work tocon,(-QtJn,;to the
Wisconsin State Plumbing Code, in the performance of which aU parties hereto: agree tQ and are bound by said statute.s.
· Application(s) and fee(s) can be broughito City-lial1,Room2Q5:Qrm~iiledtoI:hspection:S~ces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing woikwithoutpe~it(s)Willr~s.1.i1fii1fees beingdou~le~or $100.00 plu~the
normal pennitfee, which ever is greater,' .
~
OR ..... " ,.' " .... .' ". .' .' .... . /
It vou.are a contractor particivatinftiiz"tlie .Peni~jtF:ee Accou1tl,tSvslema"ndhaveadequatelunds. check here
if you want this processed throughv(),it.r account n :.... . .
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Contractor ~~~ <~ . ." . <
DDuplex. DMu\lti.;.Fa~ily DRental' DCo er:eial OIndus1iria1
Job Addre~s
Owner
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink _
Water~ L-
~OElect 0 PwrVnt
Shower
: Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
LocatWaste
Clothes Wshr
Bidet
Beer Tap
ClassrmSirtk
. . "'
SurgellnsSink
Breaknn Sitik
Dip Well
---.,....
.~
DrinkFtn
Wait.St.
Ice Chest
;Exam Sink
:~
r
.'~
~
~~lrYSink
lAI!1~\~~~'
F PrepSliik
.ServSink
JllP;qr~~e'T.iap .
. ">~xt;Qre~e:l'rap.
R;'PiZ;Valye .
~hamp.:Sitik
.f'l3trJylstSltlk.
.~
~
FtoQr Drain
Lndty Tray.
Lab Sink
Plaster Sink'
Sterilizer
Misc.
Fixtures
~'.
.~
',.
"
~
.~
~
Electric Contractor
Use I Nature of Work
Material
TyPe.
Sa.nitary Sewer
.Btbrm.Sewer. .'
..'
,~.
Water$ervice
~~
. ~::
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coff~ Maker
Ice Maker
Site Drain
Roof-Drain .
.Stiindp Rec .
.~ E.yeW(slrS.tn
WtrSewer.Mtrs
Dedti.ctMeters
Vt-tt liIsage Mtrs
. . Z'(j)
~D.
4105