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Home My WebLink About0131505-Plumbing (toilet & sump pump)OSHKOSH ON THE WATER Job Address 856 W 17TH 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 PLUMBING PERMIT -APPLICATION AND RECORD Owner JANE M REQUE Category 410 -Residential-Interior Shower Water Softner Wait. St. Shamp Sink _ Floor Drain Local Waste Ice Chest FINWst Sink Lndry Tray Clothes Wshr Exam Sink Catch Basin 1 Disposal Bidet '' Sculry Sink Wash Ftn Dishwasher Beer Tap Hand Sink Urinal _ Sump Pump 1 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 No 131505 Create Date 07/14!2008 Plan Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Valuation _ $994.00 Plan Approval ' $0.00 Permit Fees $25.00 ^ Permit Voided Issued By ' Date 07/14/2008 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 Address 665 N MAIN ST Agent/Owner OSHKOSH Date WI 54901 -4431 Telephone Number 231-1750 I o scnedule 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 P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Plumbing Permit Applicat-ion HKO H ON THE WATER I hereby apply for a permit to do and install the following phunbing 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. ~ Application(s) and fee(s) can be brought #o 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 r If you are a contractor narticinatin.e in the Permitl,Fee_ Accoun System and have adequate funds_.ehe'e`k"9iere if you want thi~ro_cessed through. your'account J b Add ~SL w ~ ~~ I ~~ ~ " e -~ r o ress t? Value ( ncludin graborand materials) ~ .Dat V Owner - ~ ~ E ~-~A-c~A- Contractor ngle Family. ODuplex ^Multi=Family []Rental' (]Co ercial Industrial ' Number of Fixtures: Bathtub Disposal Drink Ftn Catch Basin Whirlpool Dishwasher ', Wait. St. Wash Ftn Lavatory Sump Pump ~_ dce Chest Urinal Toilet ~_ Ejector/Grind ', Exam Sink Gar Drain Res. Sink Water Softner Seulry Sink Soda Dsp Bar Sink Local Waste I Hand Sink Coffee Maker Water Heater Clothes Wshr ' F Prep Sink Ice Maker ^ Gas 0 ElectO PwrVnt Bidet j Serv Sink Site Drain Shower Beer Tap IntGrease Trap Roof Drain Floor Drain ClasstTn Sink Ext Grease Trap Standp Rec Lndry Tray Surgeons Sink R.P:Z. Valve Eyi; Wash Stn j Lab Sink Breakrm Sink champ Sink Wtr Sewer Mtrs Plaster Sink Dip Well Flr/WstSink Sterilizer Deduct Meters i Misc. ', Wtr Usage Mtrs Fixtures Electric Contractor _ OR []Electric Installation Verification form attached (If Replacement) Use /Nature of Work ~" Size Material ', Type # Conn. Type Sanitary Sewer ;Storm: Sewer ~! 't. I . Water Service 4/05