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Home My WebLink About0128219-Plumbing (bathtub) G OSHKOSH ON THE WATER Job Address 1428 ALGOMA BLVD 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 128219 PLUMBING PERMIT - APPLICATION AND RECORD Shower Floor Drain Lndry Tray Disposal Dishwasher Sump Pump Classrm Sink Breakrm Sink Ejector/Grind Owner JOHN M KELLY Create Date 12/19/2007 Category 410 - Residential-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 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 BATHTUB "check #8965 Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service Parcelld # 1200690000 Plan Approval $0.00 $25.00 0 Permit Voided I Valuation $3,220.00 Issued By ~ Permit Fees Date 12f19f2007 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 AgentfOwner OSHKOSH Address 665 N MAl N 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 (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$0 Fax: ,(920) 236.:.5084 PlumbingPerrnit.Application @ ~ . 9{tj~91H lhereby apply for a pennit to do and install the folloWing plumbing on the:prenrlses hereinafter described, the work toco!jQrrnJo the Wisconsin State Plumbing Code, in the performance of which aU parties hereto agr.ee tq and are bound by said statutes. '. I i ,JobAddre~s I OWner 0Q ~e Family Number of Fixtures: Bathtub L Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater o Gas 0 Elect 0 PwrVnt Shower Floor Drain Lndry Tray, Lab Sink Plaster Sink' ''''--- '" ~ Sterilizer Misc. Fixtures Electric Contractor Use I Nature of Work Sanitary Sewer iStormSewer Water$ervice . , .' .' . :ei ACCOUllJ..:S'slem ana, have tide ; Disposal Dishwasher Sump Pump Ejector/Grind Water Softner LocatWaste Clothes Wshr Bidet Beer Tap Classrin -Sink SUrgetmsSink Breakml'Sitik Dip Well ..~ DrinkFtn 'Wait.St. Ice Chest ;Exam Sink ~~l7Sink ,>>~n~\~!~~: " F PreP 'Sink ServSink ~ ~. .~ ~ ,~ .~ ~ . , ".'InM:ff~a~e.'l);ap . :.;El<itlOie.ase :Trap. R'Pi't.:'Valve ~liamp"S1tik :!ElrJ'WstSiT!k, --'--- ~ ~. '.~, \~ ..~ check here '. /J/~: J),ate ,/~>d: (7 Catch Basin Wash Ftn Urinal Gar Drain Soda DJsp Coff~ Maker Ice Maker Site Drain RQOfDrain Stalldp Re,c .. EyeWllsll'Stn WtrSewer,Mtrs DethtctMeterl) \V!ttI,JsageMtrs ...... "DElectFic,;~nsta.ll.tion Verificaii~tt"(oJ:m att!lched . tReplal;c'ent) " Material TyPe f,'(;) dSv 4/05 \ \ I i \ I , I '~ .i I 1i,* ":.-'i