HomeMy WebLinkAbout0128215-Plumbing (wash fountains)
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OSHKOSH
ON THE WATER
Job Address 2916 ALGOMA BLVD
Contractor M P KELLY
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
FiJ.dures
Use/Nature
of Work
CITY OF OSHKOSH
No
128215
PLUMBING PERMIT. APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner BBB REAL ESTATE LLC Create Date 12/19/2007
Category 440 - Industrial-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 2 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
iNDUSTRIAL / REPLACE 2 WASH FOUNTAINS ..check #8965
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1225003000
Plan Approval
$0.00
$25.00 D Permit Voided I
Valuation $14,494.82
Issued By &D~
Permit Fees
Date 12/19/2007
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 MAIN 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':50'50
Fax:.. (920) 236~5084
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OJRKOfH
. " ON THE WATEr?
Plumbing Permit Ap:plication
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I hereby apply for a permit to do and install the folloWingplumbfug on the premises hereinafter described, the work tocoIlliGrn:l\to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agr.ee tq and are bound by said statufe:s.
· Application(s) and fee(s) can be brought't<> CityJiaJ!,Rdorii205<Qrmailedt6I:i1specuon<SeMces, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutperqtit( s)Willtes.ult:in :fees beingdoul?le9.<>T $100. 00 plu~ the
normal permiHee, which ever is greater. . . ..
OR '. '. . .... '., ...... .,., ../'
If vou.are a contractor participatinfiln'tHe .PermitFl1ilc,coutl.tSvsiem and have ddequatefund s. check here
iou want this rocessed throu ho,ttr account. " '.
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas.DElect 0 PwrVnt
Shower
Fioor Drain
Lndry Tray,
Lab Sink .
Plaster Sink
; Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Locat'Waste
Clothes Wshr
Bidet
Beer Tap
ClassrrnSink
.Surgt;:DnsSink
Breakrrn'Silik
Dip Well
, ,
..~.
~
~
---'-
Sterili~
Misc.
Fixtures
"
,
-"<--
\,
,~
~
Electric Contractor
~.,
Use I Nature of Work
Size
Material
Sanitary Sewer
.iStorm.Sewer..
Water Service
DrinkFtn
Wait St
'.' .,\J~e Chest
;Exam Sink
~~II(Sink
, .H~rt~}~}~;:'"
,F Prep' SInk
Sel'vSlilk
, 'Jrwqrtilas.e. Trap.
'~E"l\Qi;eils.e 'Ttap,
. .RJPlZiValv.e
..,Shamp'.S!lik.
.,4;]r{Ws(Si~k
~.
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Pisp
Coff~ Maker
Ice Maker
Site Draill
'RoofDmin
.Stlin(Jp Re<;
, EyeW$'sh'Stn
Wtr SeweroMtrs
D~du.~tMeters
:tM:trl;!:sageMtrs
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