HomeMy WebLinkAbout0128345-PlumbingOSHKOSH
ON THE WATER
Job Address 2408 LAKESIDE CT
CITY OF OSH~COSH
No 128345
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MATHEW/KRISTEN L FOOTIT Create Date
Category 410 -Residential-Interior Plan
Contractor O'NEILL ENTERPRISES INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
_ Shower .Water Softner Wait. St. Shamp Sink
_ Floor Drain Local Waste Ice Chest FlrlWst Sink
1 LndryTray Clothes Wshr Exam Sink Catch Basin
1 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
Ejector/Grind Drink Ftn Serv Sink Soda Disp
Valuation $2,600.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided
01/04/2008
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Issued By ~~.~ Date 01/04/2008
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 holders} and to secure any necessary approvals before starting such activity.
Signature Date
Address 522 W 6TH AVE
Agent/Owner
OSHKOSH WI
- 5916 Telephone Number 920-230-2007
To schedule inspections please cau the Inspection Ihtequest line at Z36-59Zt3 noting the Aactress, rermrt ivumper, ~ ype or
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Set:ure (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.
01/04/2008 12: 16 .FAX 19202302008 ONEILL ENTERPRISES 1~J001/001
City of Oshkosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920)236-SO50
Fax: (920)236-5084
Plumbing Permit Application
~. .,
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
• Applications} 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 permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which
ever is greater.
OR
1 ou are a contractor artici atin in the Perini ee Account S~stem and have ade uate unds check here
i ou want this rocessed throu h our account
** Advisory -For applicable projects, an Electrical Installation `Verification (Elm form, signed by the Electrical
Contractor or homeowner (for installations allowed to be perfo~nmed by the homeowner) mast be submitted
with the permit application. Applications submitted without ati EIV whep such is required, will nut be
processed for Permit Issu d will a rett~rued far completion. y~}- ~y, /~Q
Job Address Q Value (Including labor.attd materials) w Date y ~ '~./G7
O ner Contractor ~ - ,
Single Family ^Duptex ^Multi-Family ^Rental ^Commercial ^Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory ~_
Toilet ~_
Res. Sink
Bar Sink
Water Heater
0 Gas 0 Elect ~ PwrVnt
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local. Waste
Clothes Wshr
Bidet
Drink Fkt
Wait. 5t,
Ice Chest.
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Catch Basin
Wash Ftn
Urihal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Electric Contractor (for pr/a
Use /Nature of Work ,~/.
Size
Sanitary Sewer
Storm Sewer
Water Service .
Beer Tap Int Grease Trap
Classrm Sink Ext Grease Trap
Surgeons Sink R.P.Z. Valve
Breakrm Sink Shamp Sink
Dip Well Flr/Wsf$ink
Hose Bibs
ects not requiring an EIV Form)
Y e A ./~
Type #i
Conn. Type
o~/o~